Pca Pain Care Center

LBN: Mb Costello Enterprises Llc
Pca Pain Care Center is an health care organization with primary practice located at 1501 Lakeland Dr Ste 251 , Jackson MS 39216-4848. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Mb Costello Enterprises Llc can be contacted via phone (601) 321-8000, or through Costello, Bruce via phone (404) 354-3111.

Contact Information

Primary practice address
1501 Lakeland Dr Ste 251 Jackson MS 39216-4848
Phone: (601) 321-8000
Fax: (601) 321-8001
Website:
Map and Directions
Authorized official contact:
Name: Costello, Bruce Doctor of Chiropractic (DC)
Phone: (404) 354-3111

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X

Profile Details

NPI number 1982996567
LBN Legal business name Mb Costello Enterprises Llc
DBA Doing business as Pca Pain Care Center
Authorized official Costello, Bruce Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2011
Last updated Sep 29th, 2011 - about 14 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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