Advanced Sports Injury & Spinal Care Llc

LBN: Advanced Sports Injury & Spinal Care Llc
Advanced Sports Injury & Spinal Care Llc is an health care organization with primary practice located at 1322 Elton Rd Ste K , Jennings LA 70546-4100. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Advanced Sports Injury & Spinal Care Llc can be contacted via phone (337) 824-2901, or through Goddard, Lisa G via phone (337) 824-2901.

Contact Information

Primary practice address
1322 Elton Rd Ste K Jennings LA 70546-4100
Phone: (337) 824-2901
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Goddard, Lisa G
Phone: (337) 824-2901

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 1430 Louisiana

Profile Details

NPI number 1275780181
LBN Legal business name Advanced Sports Injury & Spinal Care Llc
DBA Doing business as
Authorized official Goddard, Lisa G
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2008
Last updated Sep 25th, 2008 - about 17 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 1275780181 NPPES
Louisiana MEDICAID 1072770

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