Progressive Physicians Practice
LBN: Progressive Physicians Practice
Progressive Physicians Practice is an health care organization with primary practice located at 8412 Airways Blvd , Southaven MS 38671-5140. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Progressive Physicians Practice can be contacted via phone (662) 536-2100, or through Adesoji, Remilekun Subedat via phone (662) 536-2100.
Contact Information
Primary practice address
8412 Airways Blvd
Southaven MS 38671-5140
Phone: (662) 536-2100
Fax: (662) 536-2211
Website:
Authorized official contact:
Name: Adesoji, Remilekun Subedat Doctor of Medicine (MD)
Phone: (662) 536-2100
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 16532 | Mississippi |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 16591 | Mississippi |
Profile Details
| NPI number | 1982783619 |
|---|---|
| LBN Legal business name | Progressive Physicians Practice |
| DBA Doing business as | |
| Authorized official | Adesoji, Remilekun Subedat Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Nov 4th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982783619 | NPPES |
| Mississippi | MEDICAID | 01724394 |
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