Craniospinal Institute Pllc

LBN: Craniospinal Institute Pllc
Craniospinal Institute Pllc is an health care organization with primary practice located at 2860 Channing Way Ste 114, Idaho Falls ID 83404-7531. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Craniospinal Institute Pllc can be contacted via phone (208) 535-4343, or through Mangrum, Shane via phone (208) 535-4343.

Contact Information

Primary practice address
2860 Channing Way Ste 114 Idaho Falls ID 83404-7531
Phone: (208) 535-4343
Fax: (208) 535-4344
Website:
Map and Directions
Authorized official contact:
Name: Mangrum, Shane Doctor of Medicine (MD)
Phone: (208) 535-4343

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1851571376
LBN Legal business name Craniospinal Institute Pllc
DBA Doing business as
Authorized official Mangrum, Shane Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2007
Last updated Jan 4th, 2008 - about 16 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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