Family And Sports Medicine Clinic Llc

LBN: Family And Sports Medicine Clinic Llc
Family And Sports Medicine Clinic Llc is an health care organization with primary practice located at 321 Rood Ave , Grand Junction CO 81501-2451. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Family And Sports Medicine Clinic Llc can be contacted via phone (970) 243-8524, or through Gershon, Julian Robert via phone (970) 243-8524.

Contact Information

Primary practice address
321 Rood Ave Grand Junction CO 81501-2451
Fax: (970) 263-8427
Website:
Authorized official contact:
Name: Gershon, Julian Robert Doctor of Osteopathy (DO)

Health care specialties

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

Profile Details

NPI number 1538317169
LBN Legal business name Family And Sports Medicine Clinic Llc
DBA Doing business as
Authorized official Gershon, Julian Robert Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2008
Last updated Mar 28th, 2014 - about 11 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 1538317169 NPPES
Colorado MEDICAID 06386261

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