Peavy Chiropractic Clinic Pa

LBN: Peavy Chiropractic Clinic Pa
Peavy Chiropractic Clinic Pa is an health care organization with primary practice located at 2409 Mamie St , Hattiesburg MS 39401-7345. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Peavy Chiropractic Clinic Pa can be contacted via phone (601) 582-3343, or through Peavy, Jan C via phone (601) 268-9093.

Contact Information

Primary practice address
2409 Mamie St Hattiesburg MS 39401-7345
Phone: (601) 582-3343
Fax: (601) 583-6655
Website:
Map and Directions
Authorized official contact:
Name: Peavy, Jan C
Phone: (601) 268-9093

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1629116322
LBN Legal business name Peavy Chiropractic Clinic Pa
DBA Doing business as
Authorized official Peavy, Jan C
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Oct 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629116322 NPPES
Mississippi Other C00559 MEDICARE GROUP #
Mississippi Other 353484066 MEDICARE GROUP #

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