Ko, Michael

LBN: Ko, Michael
Ko, Michael is an health care organization with primary practice located at 1401 River Rd , Greenwood MS 38930-4030. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Ko, Michael can be contacted via phone (662) 455-9595, or through Ko, Michael via phone (662) 455-9595.

Contact Information

Primary practice address
1401 River Rd Greenwood MS 38930-4030
Phone: (662) 455-9595
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ko, Michael
Phone: (662) 455-9595

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 17150 Mississippi

Profile Details

NPI number 1740471127
LBN Legal business name Ko, Michael
DBA Doing business as
Authorized official Ko, Michael
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 9th, 2007
Last updated Feb 7th, 2008 - about 18 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 1740471127 NPPES
Mississippi MEDICAID 09015666

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