Semo State Sports Medicine

LBN: Southeast Missouri State University
Semo State Sports Medicine is an health care organization with primary practice located at 1 University Plz # Ms 0200 , Cape Girardeau MO 63701-4710. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Southeast Missouri State University can be contacted via phone (972) 367-4845, or through Bass, Mouzon via phone (972) 367-4845.

Contact Information

Primary practice address
1 University Plz # Ms 0200 Cape Girardeau MO 63701-4710
Phone: (972) 367-4845
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bass, Mouzon
Phone: (972) 367-4845

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 2007008844 Missouri

Profile Details

NPI number 1871003301
LBN Legal business name Southeast Missouri State University
DBA Doing business as Semo State Sports Medicine
Authorized official Bass, Mouzon
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2017
Last updated Dec 17th, 2021 - 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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