Bluegrass Spine Care, Psc
LBN: Bluegrass Spine Care, Psc
Bluegrass Spine Care, Psc is an health care organization with primary practice located at 1741 Midland Trl , Shelbyville KY 40065-1711. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as the primary health care specialty.
Bluegrass Spine Care, Psc can be contacted via phone (502) 633-0192, or through Myers, Mark A via phone (502) 633-0192.
Contact Information
Primary practice address
1741 Midland Trl
Shelbyville KY 40065-1711
Phone: (502) 633-0192
Fax: (502) 633-4164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 32619 | Kentucky |
Profile Details
| NPI number | 1982755682 |
|---|---|
| LBN Legal business name | Bluegrass Spine Care, Psc |
| DBA Doing business as | |
| Authorized official | Myers, Mark A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Sep 26th, 2018 - about 6 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 | 1982755682 | NPPES |
| Kentucky | Other | 1063266 | PASSPORT |
| Kentucky | Other | 000802487 | PASSPORT |
| Kentucky | Other | 122601 | PASSPORT |
| Kentucky | Other | 2434349000 | PASSPORT |
| Kentucky | Other | 5344332 | PASSPORT |
| Kentucky | MEDICAID | 65930299 | PASSPORT |
| Kentucky | Other | 5134693001 | PASSPORT |
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