Laurel Pain Clinic Pa

LBN: Laurel Pain Clinic Pa
Laurel Pain Clinic Pa is an health care organization with primary practice located at 1706 W 12Th St , Laurel MS 39440-2559. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as the primary health care specialty. Laurel Pain Clinic Pa can be contacted via phone (601) 369-2021, or through Buie, Ashley N via phone (601) 898-7530.

Contact Information

Primary practice address
1706 W 12Th St Laurel MS 39440-2559
Phone: (601) 369-2021
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Buie, Ashley N
Phone: (601) 898-7530

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 16318 Mississippi

Profile Details

NPI number 1811098874
LBN Legal business name Laurel Pain Clinic Pa
DBA Doing business as
Authorized official Buie, Ashley N
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Nov 6th, 2012 - about 13 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 1811098874 NPPES
Mississippi MEDICAID 09987586
Mississippi Other DF1770

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