National Provider Identifier Database

UPA PLLC INFECTIOUS DISEASE
Pediatric Infectious Diseases

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.


Contact Information

UPA PLLC INFECTIOUS DISEASE
2500 N STATE ST
JACKSON, MS39216-4500
Phone: 601-984-5206
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Infectious Diseases 2080P0208X

* Indicates primary specialty

NPI Profile & details for UPA PLLC INFECTIOUS DISEASE

NPI Number 1891848651
Legal business name
LBN
UPA PLLC INFECTIOUS DISEASE
Authorized official OWEN EVANS - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 01/18/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MS Medicaid: 09014115

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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