Upa Pllc Rehabilitation in Jackson - Pediatric Rehabilitation Medicine
Upa Pllc Rehabilitation - NPI 1588781181
Upa Pllc Rehabilitation is a Pediatric Rehabilitation Medicine in Jackson, Mississippi. Upa Pllc Rehabilitation practices all healthcare services and medical treatments related to Pediatric Rehabilitation Medicine. The NPI Number for Upa Pllc Rehabilitation is 1588781181. The last update date is 2020-08-22.
Upa Pllc Rehabilitation's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019842940. The mailing address for Upa Pllc Rehabilitation is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Upa Pllc Rehabilitation |
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Address | 2500 N State St, Jackson, Mississippi |
Phone Number | 6019842940 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MANAGING E |
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Authorized Official Name | Evans B Owen |
Credentials | M.D. |
Telephone Number | 6019845214 |
NPI Number Detail
NPI Number | 1588781181 |
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Provider Enumeration Date | 2007-03-26 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 2500 N State St |
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City | Jackson |
State | Mississippi (MS) |
Post Code | 392164500 |
Phone Number | 6019842940 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Rehabilitation Medicine |
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Taxonomy | 2081P0010X |
Definition: A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosoci |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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9014119 | MS | -- |
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What is the unique 10-digit identifier code issued to Upa Pllc Rehabilitation by the Centers for Medicare & Medicaid Services?
The Upa Pllc Rehabilitation has been assigned the NPI (National Provider Identifier) 1588781181 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Upa Pllc Rehabilitation's facilities are geographically located?
The facilities of Upa Pllc Rehabilitation are physically situated at the following location: 2500 N State St, Jackson, MS, 392164500.
What is Upa Pllc Rehabilitation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Upa Pllc Rehabilitation is Pediatric Rehabilitation Medicine, and the taxonomy classification code that categorizes this area of expertise is 2081P0010X.
On what date did the Centers for Medicare & Medicaid Services issue the 1588781181 to Upa Pllc Rehabilitation?
The Upa Pllc Rehabilitation received its 1588781181 assignment from the Centers for Medicare & Medicaid Services on 2007-03-26.
As of what date were the Upa Pllc Rehabilitation's details last updated?
The information pertaining to the Upa Pllc Rehabilitation, including its address, specialty, and other details, was most recently updated on 2020-08-22.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY