Biloxi Internal Medicine Clinic Pa

LBN: Biloxi Internal Medicine Clinic Pa
Biloxi Internal Medicine Clinic Pa is an health care organization with primary practice located at 147 Reynoir Street Suite 204, Biloxi MS 39530. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Biloxi Internal Medicine Clinic Pa can be contacted via phone (228) 374-2051, or through Wainwright, Marion Jean via phone (228) 374-2051.

Contact Information

Primary practice address
147 Reynoir Street Suite 204 Biloxi MS 39530
Fax: (228) 374-5741
Website:
Authorized official contact:
Name: Wainwright, Marion Jean Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1962464438
LBN Legal business name Biloxi Internal Medicine Clinic Pa
DBA Doing business as
Authorized official Wainwright, Marion Jean Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2006
Last updated May 2nd, 2008 - about 16 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 1962464438 NPPES
Mississippi MEDICAID 09012028

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