Jackson State University Sports Medicine

LBN: Jackson State University
Jackson State University Sports Medicine is an health care organization with primary practice located at 1400 Jr Lynch St , Jackson MS 39217-0002. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Jackson State University can be contacted via phone (601) 979-2291, or through Bass, Mouzon via phone (972) 367-4845.

Contact Information

Primary practice address
1400 Jr Lynch St Jackson MS 39217-0002
Phone: (601) 979-2291
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bass, Mouzon
Phone: (972) 367-4845

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 09707 Mississippi

Profile Details

NPI number 1366991523
LBN Legal business name Jackson State University
DBA Doing business as Jackson State University Sports Medicine
Authorized official Bass, Mouzon
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2016
Last updated Sep 29th, 2016 - about 10 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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