Academic Neurology & Headache Clinic Pc

LBN: Academic Neurology & Headache Clinic Pc
Academic Neurology & Headache Clinic Pc is an health care organization with primary practice located at 2301 E Pikes Peak Ave Suite 202, Colorado Springs CO 80909-8006. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Academic Neurology & Headache Clinic Pc can be contacted via phone (719) 630-1510, or through Peters, Bruce H via phone (719) 630-1510.

Contact Information

Primary practice address
2301 E Pikes Peak Ave Suite 202 Colorado Springs CO 80909-8006
Phone: (719) 630-1510
Fax: (719) 632-7343
Website:
Map and Directions
Authorized official contact:
Name: Peters, Bruce H Doctor of Medicine (MD)
Phone: (719) 630-1510

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 24546 Colorado

Profile Details

NPI number 1083833834
LBN Legal business name Academic Neurology & Headache Clinic Pc
DBA Doing business as
Authorized official Peters, Bruce H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Dec 14th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083833834 NPPES
Colorado MEDICAID 04016382

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