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Jackson Brace And Limb Company
Prosthetic/Orthotic Supplier in Jackson, Mississippi
NPI 1992870950

Jackson Brace And Limb Company is a Prosthetic/Orthotic Supplier based in Jackson, MS. Jackson Brace And Limb Company practices in Jackson, MS. The NPI Number for Jackson Brace And Limb Company is 1992870950 and holds a License No. (Mississippi).

The current practice location address for Jackson Brace And Limb Company is 1320 N State St, Jackson, MS and can be reached out via phone at 601-353-2477 and via fax at 601-355-4100.

Location: 1320 N State St, Jackson, MS, 39202-2003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992870950
Provider Name
Jackson Brace And Limb Company
Credential
Provider Entity Type
Organization
Address
1320 N State St, Jackson, MS, 39202-2003
Phone Number
601-353-2477
Fax Number
601-355-4100
Provider Enumeration Date
11/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00040095 05 MS
000012226 01 MS BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1320 N State St
City
Jackson
State
Mississippi
Zip
39202-2003
Phone Number
601-353-2477
Fax Number
601-355-4100
person
Provider Business Mailing Address Details
Address
1320 N State St
City
Jackson
State
Mississippi
Zip
39202-2003
Phone Number
601-353-2477
Fax Number
601-355-4100
person
Provider's Taxonomy Details 1
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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