Alwin Max Juchheim Iii, Dpm

LBN: Alwin Max Juchheim Iii, Dpm
Alwin Max Juchheim Iii, Dpm is an health care organization with primary practice located at 1300 Sunset Dr Suite P, Grenada MS 38901-4086. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Alwin Max Juchheim Iii, Dpm can be contacted via phone (662) 226-3333, or through Lyon, Kathy J via phone (662) 226-3333.

Contact Information

Primary practice address
1300 Sunset Dr Suite P Grenada MS 38901-4086
Fax: (662) 226-7722
Website:
Authorized official contact:
Name: Lyon, Kathy J

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 80068 Mississippi

Profile Details

NPI number 1578735791
LBN Legal business name Alwin Max Juchheim Iii, Dpm
DBA Doing business as
Authorized official Lyon, Kathy J
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2008
Last updated Mar 27th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578735791 NPPES
Mississippi MEDICAID 00011116

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