Mississippi Asthma & Allergy Clinic Pa
LBN: Mississippi Asthma & Allergy Clinic Pa
Mississippi Asthma & Allergy Clinic Pa is an health care organization with primary practice located at 1513 Lakeland Dr Ste 100, Jackson MS 39216-4829. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as the primary health care specialty.
Mississippi Asthma & Allergy Clinic Pa can be contacted via phone (601) 354-4836, or through Moak, David L via phone (601) 354-4836.
Contact Information
Primary practice address
1513 Lakeland Dr Ste 100
Jackson MS 39216-4829
Phone: (601) 354-4836
Fax: (601) 354-2619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X |
Profile Details
| NPI number | 1902882251 |
|---|---|
| LBN Legal business name | Mississippi Asthma & Allergy Clinic Pa |
| DBA Doing business as | |
| Authorized official | Moak, David L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Feb 16th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902882251 | NPPES |
| Mississippi | Other | 030002483 | RR MEDICARE |
| Mississippi | Other | P00236071 | RR MEDICARE |
| Mississippi | Other | 030003287 | RR MEDICARE |
| Mississippi | Other | 030001646 | RR MEDICARE |
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