Coeur D Alene Spine And Brain Pllc
LBN: Coeur D Alene Spine And Brain Pllc
Coeur D Alene Spine And Brain Pllc is an health care organization with primary practice located at 3320 N Grand Mill Ln , Coeur D Alene ID 83814-5689. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Coeur D Alene Spine And Brain Pllc can be contacted via phone (208) 765-9100, or through Tansy, Lisa Rae via phone (208) 765-9100.
Contact Information
Primary practice address
3320 N Grand Mill Ln
Coeur D Alene ID 83814-5689
Phone: (208) 765-9100
Fax: (208) 765-9103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | M8677 | Idaho |
Profile Details
| NPI number | 1588714489 |
|---|---|
| LBN Legal business name | Coeur D Alene Spine And Brain Pllc |
| DBA Doing business as | |
| Authorized official | Tansy, Lisa Rae |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Feb 23rd, 2023 - about last year |
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 | 1588714489 | NPPES |
| Idaho | MEDICAID | 806619500 | |
| Idaho | Other | 8948154 | |
| Idaho | Other | 8H195 | |
| Idaho | Other | DA4210 | |
| Idaho | Other | 000010143406 | |
| Idaho | Other | 0172116 | |
| Idaho | Other | 205112900 | |
| Idaho | MEDICAID | 7116981 |
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