Advanced Spine Associates Pa
LBN: Advanced Spine Associates Pa
Advanced Spine Associates Pa is an health care organization with primary practice located at 8232 Highway 65 Ne , Spring Lake Park MN 55432-2095. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Pain Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is the primary health care specialty.
Advanced Spine Associates Pa can be contacted via phone (763) 577-1877, or through Banks, Garry M via phone (763) 577-1877.
Contact Information
Primary practice address
8232 Highway 65 Ne
Spring Lake Park MN 55432-2095
Phone: (763) 577-1877
Fax: (763) 577-1887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1548253933 |
|---|---|
| LBN Legal business name | Advanced Spine Associates Pa |
| DBA Doing business as | |
| Authorized official | Banks, Garry M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Dec 17th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548253933 | NPPES |
| Minnesota | MEDICAID | 713523800 |
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