Athelite Orthopedics And Sports Medicine, Llc
LBN: Athelite Orthopedics And Sports Medicine, Llc
Athelite Orthopedics And Sports Medicine, Llc is an health care organization with primary practice located at 365 S Park Ridge Rd Suite 102, Bloomington IN 47401-8361. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as the primary health care specialty.
Athelite Orthopedics And Sports Medicine, Llc can be contacted via phone (812) 822-2675, or through Flory, Douglas Alan via phone (812) 822-2675.
Contact Information
Primary practice address
365 S Park Ridge Rd Suite 102
Bloomington IN 47401-8361
Phone: (812) 822-2675
Fax: (812) 822-2679
Website:
Authorized official contact:
Name: Flory, Douglas Alan Doctor of Medicine (MD)
Phone: (812) 822-2675
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | 1052068 | Indiana |
Profile Details
| NPI number | 1417287970 |
|---|---|
| LBN Legal business name | Athelite Orthopedics And Sports Medicine, Llc |
| DBA Doing business as | |
| Authorized official | Flory, Douglas Alan Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 6th, 2010 |
| Last updated | Jan 6th, 2010 - about 15 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 | 1417287970 | NPPES |
| Indiana | MEDICAID | 200272920 |
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