J.C. PASSMAN MDPA NPI 1083643761

NPI Information

NPI: 1083643761
Provider Name: J.C. PASSMAN MDPA
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Organization
Address:
46 SGT PRENTISS DR
SUITE 103
NATCHEZ, MS
ZIP 39120
Phone: (601) 442-9654
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J.C. PASSMAN MDPA is a neuromusculoskeletal medicine sports medicine in Natchez, MS. The provider is definition to come. J.C. PASSMAN MDPA NPI is 1083643761. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

46 SGT PRENTISS DR
SUITE 103
NATCHEZ, MS
ZIP 39120-792
Phone: (601) 442-9654
Fax: (601) 442-9790

The provider's authorized official is Robert Brian Haimson .
The authorized official title is President and has the following contact phone number (601) 442-9654.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 9/16/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225100000X	Physical Therapist		PT0333	MISSISSIPPI	No
2	204C00000X	Neuromusculoskeletal Medicine, Sports Medicine		05227	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C02831	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI	GROUP NUMBER
2	C02831	MEDICARE PIN	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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