Provider Demographics
NPI:1750516746
Name:JOPLIN NEUROSURGICAL ASSOC., INC.
Entity type:Organization
Organization Name:JOPLIN NEUROSURGICAL ASSOC., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HISH
Authorized Official - Middle Name:S
Authorized Official - Last Name:MAJZOUB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:417-781-4733
Mailing Address - Street 1:2902 B MCCLELLAND BLVD.
Mailing Address - Street 2:STE. 7
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-1632
Mailing Address - Country:US
Mailing Address - Phone:417-781-4733
Mailing Address - Fax:417-781-8078
Practice Address - Street 1:2902 B MCCLELLAND BLVD.
Practice Address - Street 2:SUITE #7
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-1632
Practice Address - Country:US
Practice Address - Phone:417-781-4733
Practice Address - Fax:417-781-8078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty