Msa Alliance, LLC
Nephrology Physician · Breese, IL
Practice location
160 N Main StBreese, IL 62230-1630
- Phone
- (618) 234-8246
NPI record
- NPI
- 1467792960
- Entity type
- Organization (Type 2)
- Enumeration date
- February 20, 2013
- Last updated
- February 28, 2013
- Organization subpart
- Yes
- Parent organization
- Msa Alliance, LLC
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nephrology Physician Primary | 207RN0300X |
036121947 | IL |
Mailing address
4500 Memorial DrMedical Affairs Credentialing Dept
Belleville, IL 62226-5360
- Phone
- (618) 257-4644
- Fax
- (618) 257-6946
Authorized official
- Name
- James B. Davis
- Title
- Executive Director
- Phone
- (618) 257-4644
About Msa Alliance, LLC
Msa Alliance, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Nephrology Physician (code 207RN0300X). The practice location is 160 N Main St, Breese, IL 62230-1630. The NPI number 1467792960 was assigned on February 20, 2013 and the record was last updated on February 28, 2013.
Msa Alliance, LLC lists a license in the registry: #036121947 (IL) for Nephrology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is James B. Davis, Executive Director.
Frequently asked questions
What is the NPI number of Msa Alliance, LLC?
The NPI number is 1467792960.
What is the phone number of Msa Alliance, LLC?
The phone number listed for the practice location is (618) 234-8246.
Where is Msa Alliance, LLC located?
160 N Main St, Breese, IL 62230-1630.
What is the taxonomy code for Msa Alliance, LLC?
The primary taxonomy code is 207RN0300X – Nephrology Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Nephrology Physician providers in Breese
- Msa Alliance, LLC9515 Holy Cross Ln