Jackson Ear Clinic Pa
LBN: Jackson Ear Clinic Pa
Jackson Ear Clinic Pa is an health care organization with primary practice located at 290 E Layfair Dr , Flowood MS 39232-9526. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Jackson Ear Clinic Pa can be contacted via phone (601) 981-2825, or through Peeples, Kathy via phone (601) 981-2825.
Contact Information
Primary practice address
290 E Layfair Dr
Flowood MS 39232-9526
Phone: (601) 981-2825
Fax: (601) 981-2827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 11369 | Mississippi |
Profile Details
| NPI number | 1093934002 |
|---|---|
| LBN Legal business name | Jackson Ear Clinic Pa |
| DBA Doing business as | |
| Authorized official | Peeples, Kathy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Aug 12th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093934002 | NPPES |
| Mississippi | MEDICAID | 04586854 |
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