Concussion Management Center Of Central Pa, Llc
LBN: Concussion Management Center Of Central Pa, Llc
Concussion Management Center Of Central Pa, Llc is an health care organization with primary practice located at 111 Nason Dr Suite 104, Roaring Spring PA 16673-1212. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty.
Concussion Management Center Of Central Pa, Llc can be contacted via phone (814) 224-6096, or through Baker, John A via phone (814) 224-6096.
Contact Information
Primary practice address
111 Nason Dr Suite 104
Roaring Spring PA 16673-1212
Phone: (814) 224-6096
Fax: (814) 224-6095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X |
Profile Details
| NPI number | 1891035937 |
|---|---|
| LBN Legal business name | Concussion Management Center Of Central Pa, Llc |
| DBA Doing business as | |
| Authorized official | Baker, John A Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 27th, 2013 |
| Last updated | Feb 27th, 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 | 1891035937 | NPPES |
| Pennsylvania | MEDICAID | PENDING |
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