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Contact Information

MUSCLE AND NERVE PA
971 LAKELAND DRIVE
SUITE 560
JACKSON, MS39216
 Phone: 601-982-9826
 Fax: 601-982-9826
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for MUSCLE AND NERVE PA

NPI # 1346370921
LBN Legal business name MUSCLE AND NERVE PA
Authorized official ALAN MOORE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/06/2007
Last updated 01/05/2023 - About 3 years ago
Identifiers
MS License # 18286
MS Medicaid 06772854
MS Medicaid 09014965
Other DC2890 GROUP RAILROAD MEDICARE
Other 130019995 RAILROAD MEDICARE
Other P00159488 RAILROAD MEDICARE
Other 0530055 UNITED HEALTH CARE
Other 169058500 US DEPT OF LABOR
MS Other 409393032 BCBS OF MS
MS Other 426159735B BCBS OF MS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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