Vitality Medical Clinic And Spa

LBN: Vitality Wellness Clinic Llc
Vitality Medical Clinic And Spa is an health care organization with primary practice located at 3200 Mallett Rd D-3, D'Iberville MS 39540-9305. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Vitality Wellness Clinic Llc can be contacted via phone (228) 392-0900, or through Crowder, Jason Bradley via phone (251) 591-9769.

Contact Information

Primary practice address
3200 Mallett Rd D-3 D'Iberville MS 39540-9305
Phone: (228) 392-0900
Fax: (228) 392-0902
Website:
Map and Directions
Authorized official contact:
Name: Crowder, Jason Bradley Doctor of Medicine (MD)
Phone: (251) 591-9769

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 20041 Mississippi

Profile Details

NPI number 1760741698
LBN Legal business name Vitality Wellness Clinic Llc
DBA Doing business as Vitality Medical Clinic And Spa
Authorized official Crowder, Jason Bradley Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2012
Last updated Aug 28th, 2012 - about 14 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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