Mo Services Llc

LBN: Mo Services Llc
Mo Services Llc is an health care organization with primary practice located at 15190 Community Rd. Suite 120, Gulfport MS 39503-3484. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as the primary health care specialty. Mo Services Llc can be contacted via phone (228) 328-2400, or through Johansen, Robert Lance via phone (228) 328-2400.

Contact Information

Primary practice address
15190 Community Rd. Suite 120 Gulfport MS 39503-3484
Phone: (228) 328-2400
Fax: (228) 328-4200
Website:
Map and Directions
Authorized official contact:
Name: Johansen, Robert Lance Doctor of Medicine (MD)
Phone: (228) 328-2400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X

Profile Details

NPI number 1124587829
LBN Legal business name Mo Services Llc
DBA Doing business as
Authorized official Johansen, Robert Lance Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2019
Last updated Mar 13th, 2019 - about 5 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 1124587829 NPPES
Mississippi MEDICAID 04232510

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