1770717449 NPI number — PRECISE CLINICAL NEUROSCIENCE SPECIALISTS

Table of content: (NPI 1770717449)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770717449 NPI number — PRECISE CLINICAL NEUROSCIENCE SPECIALISTS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PRECISE CLINICAL NEUROSCIENCE SPECIALISTS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1770717449
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/29/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 321015
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FLOWOOD
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
39232-1015
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
601-420-7010
Provider Business Mailing Address Fax Number:
601-420-5811

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3531 LAKELAND DR STE 1060
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FLOWOOD
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39232-8016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
601-420-7010
Provider Business Practice Location Address Fax Number:
601-402-5811
Provider Enumeration Date:
05/11/2009

Additional Information

Authorized Official

Authorized Official Last Name:
HALL
Authorized Official First Name:
EMILY
Authorized Official Middle Name:
Authorized Official Title or Position:
PRACTICE MANAGER
Authorized Official Telephone Number:
601-420-5810

Provider Taxonomy Codes

  • Taxonomy code: 2084N0400X , with the licence number:  17834 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084P0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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