Jay J Libys Md Pa

LBN: Jay J Libys Md Pa
Jay J Libys Md Pa is an health care organization with primary practice located at 4500 13Th St , Gulfport MS 39501-2515. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Jay J Libys Md Pa can be contacted via phone (228) 822-6132, or through Fulcher, William via phone (601) 918-7301.

Contact Information

Primary practice address
4500 13Th St Gulfport MS 39501-2515
Phone: (228) 822-6132
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fulcher, William
Phone: (601) 918-7301

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1073248134
LBN Legal business name Jay J Libys Md Pa
DBA Doing business as
Authorized official Fulcher, William
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2022
Last updated Jul 21st, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073248134 NPPES
Mississippi MEDICAID 00115535

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