Southern Life Chiropractic Llc

LBN: Southern Life Chiropractic Llc
Southern Life Chiropractic Llc is an health care organization with primary practice located at 215 Woodline Dr Ste A , Flowood MS 39232-9721. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Southern Life Chiropractic Llc can be contacted via phone (601) 932-0026, or through Different, Amy via phone (601) 932-0026.

Contact Information

Primary practice address
215 Woodline Dr Ste A Flowood MS 39232-9721
Phone: (601) 932-0026
Fax: (601) 932-0027
Website:
Map and Directions
Authorized official contact:
Name: Different, Amy Doctor of Chiropractic (DC)
Phone: (601) 932-0026

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1881165736
LBN Legal business name Southern Life Chiropractic Llc
DBA Doing business as
Authorized official Different, Amy Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2018
Last updated Dec 17th, 2018 - about 8 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 1881165736 NPPES
Mississippi MEDICAID 04675750

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