1447395850 NPI number — AURORA SPINE CENTERS-MISSISSIPPI, INC

Table of content: ALESSANDRO R. ROSSI MD (NPI 1740260959)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447395850 NPI number — AURORA SPINE CENTERS-MISSISSIPPI, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AURORA SPINE CENTERS-MISSISSIPPI, INC
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:
1447395850
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/11/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3660
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TUPELO
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
38803-3660
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
662-841-7585
Provider Business Mailing Address Fax Number:
662-841-2667

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
408 COUNCIL CIR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TUPELO
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
38801-4949
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
662-841-7585
Provider Business Practice Location Address Fax Number:
662-841-2667
Provider Enumeration Date:
02/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ECKMAN
Authorized Official First Name:
WALTER
Authorized Official Middle Name:
W.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
662-841-7585

Provider Taxonomy Codes

  • Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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