Jackson Brace And Limb Company

LBN: Jackson Brace And Limb Company
Jackson Brace And Limb Company is an health care organization with primary practice located at 1320 N State St , Jackson MS 39202-2003. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Jackson Brace And Limb Company can be contacted via phone (601) 353-2477, or through Gordon, Delese via phone (601) 353-2477.

Contact Information

Primary practice address
1320 N State St Jackson MS 39202-2003
Phone: (601) 353-2477
Fax: (601) 355-4100
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Delese
Phone: (601) 353-2477

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1992870950
LBN Legal business name Jackson Brace And Limb Company
DBA Doing business as
Authorized official Gordon, Delese
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2006
Last updated Jun 27th, 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 1992870950 NPPES
Mississippi MEDICAID 00040095
Mississippi Other 000012226

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