Quad City Neurolgy And Spine
LBN: Brian J Anseeuw M.D. S.C.
Quad City Neurolgy And Spine is an health care organization with primary practice located at 616 35Th Ave Unit 2, Moline IL 61265-5925. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as the primary health care specialty.
Brian J Anseeuw M.D. S.C. can be contacted via phone (309) 764-4729, or through Anseeuw, Brian Jay via phone (309) 764-4729.
Contact Information
Primary practice address
616 35Th Ave Unit 2
Moline IL 61265-5925
Phone: (309) 764-4729
Fax: (309) 764-7144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 042618374 | Illinois |
Profile Details
| NPI number | 1649462672 |
|---|---|
| LBN Legal business name | Brian J Anseeuw M.D. S.C. |
| DBA Doing business as | Quad City Neurolgy And Spine |
| Authorized official | Anseeuw, Brian Jay Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 14th, 2007 |
| Last updated | Oct 3rd, 2013 - about 12 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 | 1649462672 | NPPES |
| Illinois | MEDICAID | 036102718 2 | |
| Illinois | Other | 94420 | |
| Illinois | Other | 08126230 |
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