Eastern Headache And Spine, Pa

LBN: Eastern Headache And Spine, Pa
Eastern Headache And Spine, Pa is an health care organization with primary practice located at 498 A Red Banks Road , Greenville NC 27858. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty. Eastern Headache And Spine, Pa can be contacted via phone (252) 215-3067, or through Cooper, James Bryan via phone (252) 215-3067.

Contact Information

Primary practice address
498 A Red Banks Road Greenville NC 27858
Phone: (252) 215-3067
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cooper, James Bryan Doctor of Medicine (MD)
Phone: (252) 215-3067

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 200400320 North Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X 200400320 North Carolina
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 200400320 North Carolina

Profile Details

NPI number 1952531642
LBN Legal business name Eastern Headache And Spine, Pa
DBA Doing business as
Authorized official Cooper, James Bryan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2009
Last updated Mar 11th, 2010 - about 14 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 1952531642 NPPES
Other 1363X BLUE CROSS BLUE SHIELD
MEDICAID 891363X BLUE CROSS BLUE SHIELD

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