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MSA ALLIANCE LLC NPI 1922321546


NPI Information

NPI: 1922321546
Provider Name: MSA ALLIANCE LLC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
4550 MEMORIAL DRIVE
STE. 280
BELLEVILLE, IL
ZIP 62226
Phone: (618) 277-3109
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MSA ALLIANCE LLC is a pulmonary disease internal medicine in Belleville, IL. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. MSA ALLIANCE LLC NPI is 1922321546. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4550 MEMORIAL DRIVE
STE. 280
BELLEVILLE, IL
ZIP 62226
Phone: (618) 277-3109
Fax: (618) 233-5696

The provider's authorized official is James B. Davis .
The authorized official title is Executive Director and has the following contact phone number (618) 257-6301.

The enumeration date for this NPI number is 3/10/2010 and was last updated on 1/9/2014.


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
1208100000XPhysical Medicine & RehabilitationNo
2208800000XUrologyNo
3207RG0100XInternal MedicineGastroenterologyNo
4207RP1001XInternal MedicinePulmonary DiseaseYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1IL3521MEDICARE OSCAR/CERTIFICATIONILLINOIS
2IL3521MEDICARE PIN
36675040001MEDICARE NSCILLINOIS

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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