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MSA ALLIANCE LLC NPI 1528372992


NPI Information

NPI: 1528372992
Provider Name: MSA ALLIANCE, LLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
4550 MEMORIAL DR
STE A-480
BELLEVILLE, IL
ZIP 62226
Phone: (618) 222-1020
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MSA ALLIANCE, LLC is a neurology psychiatry neurology in Belleville, IL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MSA ALLIANCE, LLC NPI is 1528372992. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4550 MEMORIAL DR
STE A-480
BELLEVILLE, IL
ZIP 62226-372
Phone: (618) 222-1020
Fax: (618) 222-1039

The provider's authorized official is James B Davis .
The authorized official title is Executive Director and has the following contact phone number (618) 257-4644.

The enumeration date for this NPI number is 7/28/2010 and was last updated on 2/21/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyYes

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

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