Jackson Neurosurgery Clinic Pllc

LBN: Jackson Neurosurgery Clinic Pllc
Jackson Neurosurgery Clinic Pllc is an health care organization with primary practice located at 971 Lakeland Dr Suite 1250, Jackson MS 39216-4643. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Jackson Neurosurgery Clinic Pllc can be contacted via phone (601) 366-1011, or through Lewis, Zoe via phone (601) 366-1011.

Contact Information

Primary practice address
971 Lakeland Dr Suite 1250 Jackson MS 39216-4643
Phone: (601) 366-1011
Fax: (601) 366-7311
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Zoe
Phone: (601) 366-1011

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1265768618
LBN Legal business name Jackson Neurosurgery Clinic Pllc
DBA Doing business as
Authorized official Lewis, Zoe
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2009
Last updated May 4th, 2015 - about 9 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 1265768618 NPPES
Mississippi MEDICAID 08288260
Mississippi Other CK4238

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