Jackson Neurosurgery Clinic, Pllc
LBN: Jackson Neurosurgery Clinic, Pllc
Jackson Neurosurgery Clinic, Pllc is an health care organization with primary practice located at 1080 River Oaks Dr Suite B-103, Flowood MS 39232-9779. 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) 321-1504.
Contact Information
Primary practice address
1080 River Oaks Dr Suite B-103
Flowood MS 39232-9779
Phone: (601) 366-1011
Fax: (601) 932-6111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | Mississippi |
Profile Details
| NPI number | 1740364785 |
|---|---|
| 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 25th, 2006 |
| Last updated | Oct 28th, 2016 - about 8 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 | 1740364785 | NPPES |
| Mississippi | MEDICAID | 08288260 | |
| Mississippi | Other | C03059 | |
| Mississippi | Other | CK4238 |
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