Individual
ALBERT M. HABEEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1901 MISSION 66, SUITE A, VICKSBURG, MS 39180-3711
(601) 638-4076
(601) 638-4979
Mailing address
PO BOX 822394, VICKSBURG, MS 39182-2394
(601) 638-4076
(601) 638-4979
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3385
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015117
—
MS
01
—
5429586
AETNA
MS
01
—
6430026
UNITED HEALTH PLAN
MS
Enumeration date
01/03/2008
Last updated
01/03/2008
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