Function First Spine And Sport, Pllc

LBN: Function First Spine And Sport, Pllc
Function First Spine And Sport, Pllc is an health care organization with primary practice located at 604 Sumner Ave , Humboldt IA 50548-1761. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Chiropractor is the primary health care specialty. Function First Spine And Sport, Pllc can be contacted via phone (515) 570-7695, or through Vansickler, Cynthia S via phone (515) 570-7695.

Contact Information

Primary practice address
604 Sumner Ave Humboldt IA 50548-1761
Phone: (515) 570-7695
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vansickler, Cynthia S DC, CCSP
Phone: (515) 570-7695

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X
Chiropractic Providers / Sports Physician 111NS0005X

Profile Details

NPI number 1407420664
LBN Legal business name Function First Spine And Sport, Pllc
DBA Doing business as
Authorized official Vansickler, Cynthia S DC, CCSP
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2021
Last updated May 13th, 2021 - about 3 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 1407420664 NPPES
Iowa MEDICAID 1235495615

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