Buckner Prosthetic And Orthotic Laboratories Inc.

LBN: Buckner Prosthetic And Orthotic Laboratories Inc.
Buckner Prosthetic And Orthotic Laboratories Inc. is an health care organization with primary practice located at 2 Old River Pl Suite D, Jackson MS 39202-3435. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is the primary health care specialty. Buckner Prosthetic And Orthotic Laboratories Inc. can be contacted via phone (601) 944-1130, or through Buckner, Martin L via phone (601) 944-1130.

Contact Information

Primary practice address
2 Old River Pl Suite D Jackson MS 39202-3435
Phone: (601) 944-1130
Fax: (601) 355-7476
Website:
Map and Directions
Authorized official contact:
Name: Buckner, Martin L C.P.O.
Phone: (601) 944-1130

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X

Profile Details

NPI number 1427042134
LBN Legal business name Buckner Prosthetic And Orthotic Laboratories Inc.
DBA Doing business as
Authorized official Buckner, Martin L C.P.O.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2005
Last updated Oct 4th, 2013 - about 13 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 1427042134 NPPES
Mississippi MEDICAID 00040395

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