Medical Spa Moksha, L.L.C.

LBN: Medical Spa Moksha, L.L.C.
Medical Spa Moksha, L.L.C. is an health care organization with primary practice located at 500 Cahaba Park Cir , Birmingham AL 35242-5087. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Plastic Surgery is the primary health care specialty. Medical Spa Moksha, L.L.C. can be contacted via phone (205) 980-9393, or through Nickell, William B via phone (205) 980-9393.

Contact Information

Primary practice address
500 Cahaba Park Cir Birmingham AL 35242-5087
Fax: (205) 980-4494
Website:
Authorized official contact:
Name: Nickell, William B Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 3370 Alabama
Ambulatory Health Care Facilities / Primary Care 261QP2300X 3370 Alabama

Profile Details

NPI number 1912231895
LBN Legal business name Medical Spa Moksha, L.L.C.
DBA Doing business as
Authorized official Nickell, William B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2009
Last updated Sep 25th, 2009 - about 15 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 1912231895 NPPES
Other 1306901517 NPI

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