Institute For Low Back Care Llc
LBN: Institute For Low Back Care Llc
Institute For Low Back Care Llc is an health care organization with primary practice located at 300 Main Ave Suite 212, Fargo ND 58103-1930. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Ambulatory Health Care Facilities / Ambulatory Surgical, Ambulatory Health Care Facilities / Pain. Ambulatory Health Care Facilities / Ambulatory Surgical is the primary health care specialty.
Institute For Low Back Care Llc can be contacted via phone (701) 297-0817, or through Sivanna, Panjini M. via phone (701) 297-0817.
Contact Information
Primary practice address
300 Main Ave Suite 212
Fargo ND 58103-1930
Phone: (701) 297-0817
Fax: (701) 297-6870
Website:
Authorized official contact:
Name: Sivanna, Panjini M. Doctor of Medicine (MD)
Phone: (701) 297-0817
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 4806 | North Dakota |
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 4806 | North Dakota |
| Ambulatory Health Care Facilities / Pain | 261QP3300X |
Profile Details
| NPI number | 1124125109 |
|---|---|
| LBN Legal business name | Institute For Low Back Care Llc |
| DBA Doing business as | |
| Authorized official | Sivanna, Panjini M. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | May 7th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124125109 | NPPES |
| North Dakota | MEDICAID | 6826334 |
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