Competitive Edge Sports Medicine

LBN: Competitive Edge Sports Medicine
Competitive Edge Sports Medicine is an health care organization with primary practice located at 14160 Jamestown Rd , Breese IL 62230. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Competitive Edge Sports Medicine can be contacted via phone (618) 526-2603, or through Neighbors, David L via phone (618) 526-2603.

Contact Information

Primary practice address
14160 Jamestown Rd Breese IL 62230
Phone: (618) 526-2603
Fax: (618) 526-1435
Website:
Map and Directions
Authorized official contact:
Name: Neighbors, David L Doctor of Medicine (MD)
Phone: (618) 526-2603

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X

Profile Details

NPI number 1104000561
LBN Legal business name Competitive Edge Sports Medicine
DBA Doing business as
Authorized official Neighbors, David L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2007
Last updated Dec 20th, 2007 - about 18 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 1104000561 NPPES
Illinois Other 0001400053 BCBS

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