Mississippi Upper Cervical Clinic, Inc

LBN: Mississippi Upper Cervical Clinic, Inc
Mississippi Upper Cervical Clinic, Inc is an health care organization with primary practice located at 7651 Tchulahoma Rd , Southaven MS 38671-9227. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Mississippi Upper Cervical Clinic, Inc can be contacted via phone (662) 349-0980, or through Qualls, Trevor Lamar via phone (662) 349-0980.

Contact Information

Primary practice address
7651 Tchulahoma Rd Southaven MS 38671-9227
Phone: (662) 349-0980
Fax: (662) 349-0990
Website:
Map and Directions
Authorized official contact:
Name: Qualls, Trevor Lamar Doctor of Chiropractic (DC)
Phone: (662) 349-0980

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1100 Mississippi

Profile Details

NPI number 1346318797
LBN Legal business name Mississippi Upper Cervical Clinic, Inc
DBA Doing business as
Authorized official Qualls, Trevor Lamar Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2006
Last updated Mar 20th, 2008 - about 17 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 1346318797 NPPES
Mississippi Other 415350960 BCBS

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