Caleb W. Herndon, M.D., Ph.D., P.A.

LBN: Caleb W. Herndon, M.D., Ph.D., P.A.
Caleb W. Herndon, M.D., Ph.D., P.A. is an health care organization with primary practice located at 347 W Cherokee St , Brookhaven MS 39601-3219. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Caleb W. Herndon, M.D., Ph.D., P.A. can be contacted via phone (601) 833-1946, or through Herndon, Natalie B. via phone (601) 833-1946.

Contact Information

Primary practice address
347 W Cherokee St Brookhaven MS 39601-3219
Phone: (601) 833-1946
Fax: (601) 833-3938
Website:
Map and Directions
Authorized official contact:
Name: Herndon, Natalie B. PH.D.
Phone: (601) 833-1946

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 06643 Mississippi

Profile Details

NPI number 1518037175
LBN Legal business name Caleb W. Herndon, M.D., Ph.D., P.A.
DBA Doing business as
Authorized official Herndon, Natalie B. PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2006
Last updated Apr 22nd, 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 1518037175 NPPES
Mississippi MEDICAID 00015595
Mississippi MEDICAID 1629804
Mississippi Other 462669093

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