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University Physicians, Pllc
Prosthetic/Orthotic Supplier in Jackson, Mississippi
NPI 1720231301

University Physicians, Pllc is a Prosthetic/Orthotic Supplier based in Jackson, MS. University Physicians, Pllc practices in Jackson, MS. The NPI Number for University Physicians, Pllc is 1720231301 and holds a License No. (Mississippi).

The current practice location address for University Physicians, Pllc is 2500 North State Street, Jackson, MS and can be reached out via phone at 601-815-4775 and via fax at 601-984-6451.

Location: 2500 North State Street, Jackson, MS, 39216-4505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720231301
Provider Name
University Physicians, Pllc
Credential
Provider Entity Type
Organization
Address
2500 North State Street, Jackson, MS, 39216-4505
Phone Number
601-815-4775
Fax Number
601-984-6451
Provider Enumeration Date
10/28/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02901340 01 MS MEDICAID DME
institution
Provider Business Practice Location Address Details
Address
2500 North State Street
City
Jackson
State
Mississippi
Zip
39216-4505
Phone Number
601-815-4775
Fax Number
601-984-6451
person
Provider Business Mailing Address Details
Address
2500 North State Street
City
Jackson
State
Mississippi
Zip
39216-4505
Phone Number
601-815-4775
Fax Number
601-984-6451
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
()
Definition
An individual trained in the management of fitting prefabricated orthoses.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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