Glasson Sports Medicine Pc
LBN: Glasson Sports Medicine Pc
Glasson Sports Medicine Pc is an health care organization with primary practice located at 968 First Colonial Rd Suite 101, Virginia Beach VA 23454-3171. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Physician Assistants & Advanced Practice Nursing Providers / Medical. Other Service Providers / Specialist is the primary health care specialty.
Glasson Sports Medicine Pc can be contacted via phone (757) 412-1005, or through Glasson, Sandra Elise via phone (757) 412-1005.
Contact Information
Primary practice address
968 First Colonial Rd Suite 101
Virginia Beach VA 23454-3171
Phone: (757) 412-1005
Fax: (757) 412-1015
Website:
Authorized official contact:
Name: Glasson, Sandra Elise Doctor of Medicine (MD)
Phone: (757) 412-1005
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1366560229 |
|---|---|
| LBN Legal business name | Glasson Sports Medicine Pc |
| DBA Doing business as | |
| Authorized official | Glasson, Sandra Elise Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 27th, 2007 |
| Last updated | May 12th, 2016 - about 9 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 | 1366560229 | NPPES |
| Virginia | MEDICAID | 6409351 |
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