Advanced Sports & Spine, Pllc

LBN: Advanced Sports & Spine, Pllc
Advanced Sports & Spine, Pllc is an health care organization with primary practice located at 8035 Providence Rd #340, Charlotte NC 28277-9716. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Advanced Sports & Spine, Pllc can be contacted via phone (704) 542-3988, or through Ahmad, Usman Fayyaz via phone (704) 542-3988.

Contact Information

Primary practice address
8035 Providence Rd #340 Charlotte NC 28277-9716
Fax:
Website:
Authorized official contact:
Name: Ahmad, Usman Fayyaz Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 2015-01401 North Carolina

Profile Details

NPI number 1629422738
LBN Legal business name Advanced Sports & Spine, Pllc
DBA Doing business as
Authorized official Ahmad, Usman Fayyaz Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2016
Last updated Apr 12th, 2018 - about 7 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 1629422738 NPPES
North Carolina MEDICAID 1629422738

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