Southern Prosthetic Care Llc

LBN: Southern Prosthetic Care Llc
Southern Prosthetic Care Llc is an health care organization with primary practice located at 1308 44Th Ave , Gulfport MS 39501-2552. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Southern Prosthetic Care Llc can be contacted via phone (228) 265-7847, or through Kenny, William J via phone (228) 265-7847.

Contact Information

Primary practice address
1308 44Th Ave Gulfport MS 39501-2552
Phone: (228) 265-7847
Fax: (228) 265-7876
Website:
Map and Directions
Authorized official contact:
Name: Kenny, William J Certified Psychologist (CP)
Phone: (228) 265-7847

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1063050862
LBN Legal business name Southern Prosthetic Care Llc
DBA Doing business as
Authorized official Kenny, William J Certified Psychologist (CP)
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 12th, 2019
Last updated Jan 21st, 2020 - about 4 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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