Vicksburg Allergy And Asthma

LBN: Vicksburg Allergy And Asthma
Vicksburg Allergy And Asthma is an health care organization with primary practice located at 104 Mcauley Dr , Vicksburg MS 39183-2825. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as the primary health care specialty. Vicksburg Allergy And Asthma can be contacted via phone (601) 636-0097, or through Kerut, Timothy via phone (601) 636-0097.

Contact Information

Primary practice address
104 Mcauley Dr Vicksburg MS 39183-2825
Phone: (601) 636-0097
Fax: (601) 629-9969
Website:
Map and Directions
Authorized official contact:
Name: Kerut, Timothy Doctor of Medicine (MD)
Phone: (601) 636-0097

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 11047 Mississippi

Profile Details

NPI number 1619140399
LBN Legal business name Vicksburg Allergy And Asthma
DBA Doing business as
Authorized official Kerut, Timothy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2008
Last updated Apr 2nd, 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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