Bloomington Orthopedic Spine Clinic Llc

LBN: Bloomington Orthopedic Spine Clinic Llc
Bloomington Orthopedic Spine Clinic Llc is an health care organization with primary practice located at 2201 W Sudbury Dr Ste C, Bloomington IN 47403-3812. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Bloomington Orthopedic Spine Clinic Llc can be contacted via phone (812) 333-1933, or through Hammerstein, John P via phone (812) 333-1933.

Contact Information

Primary practice address
2201 W Sudbury Dr Ste C Bloomington IN 47403-3812
Fax: (812) 333-3991
Website:
Authorized official contact:
Name: Hammerstein, John P Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01065333A Indiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 01065333A Indiana

Profile Details

NPI number 1669609400
LBN Legal business name Bloomington Orthopedic Spine Clinic Llc
DBA Doing business as
Authorized official Hammerstein, John P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2009
Last updated Jun 8th, 2010 - about 14 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 1669609400 NPPES
Indiana MEDICAID 200949160A

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