Healthcare Provider Details
I. General information
NPI: 1447324876
Provider Name (Legal Business Name): HEALTH CARE ENGINEERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/18/2006
Last Update Date: 01/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
105 LEGION AVE
CALHOUN CITY MS
38916
US
IV. Provider business mailing address
154 OAKDALE RD
MADISON MS
39110-9076
US
V. Phone/Fax
- Phone: 662-628-8267
- Fax: 601-856-8003
- Phone: 601-573-0386
- Fax: 601-856-8003
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
EDITH
MELISSA
CORKERN
Title or Position: PARTNER
Credential: RN
Phone: 601-573-0386