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Contact Information

OMNIVERSE PLASTIKOS PA
14 PROFESSIONAL PKWY
SUITE C
RIDGELAND, MS39157-4190
 Phone: 601-824-1492
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
 

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for OMNIVERSE PLASTIKOS PA

NPI # 1871724500
LBN Legal business name OMNIVERSE PLASTIKOS PA
Authorized official ARNO SCHLEICH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2009
Last updated 12/20/2010 - About 15 years ago
Identifiers
MS License # 20023
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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