Modern Sports Medicine Llc

LBN: Modern Sports Medicine Llc
Modern Sports Medicine Llc is an health care organization with primary practice located at 5590 W Chandler Blvd Ste 4 , Chandler AZ 85226-3744. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Ambulatory Health Care Facilities / Multi-Specialty. Allopathic & Osteopathic Physicians / Sports Medicine is the primary health care specialty. Modern Sports Medicine Llc can be contacted via phone (480) 306-6627, or through Fruchtman, Susan via phone (480) 863-6269.

Contact Information

Primary practice address
5590 W Chandler Blvd Ste 4 Chandler AZ 85226-3744
Phone: (480) 306-6627
Fax: (480) 306-6696
Website:
Map and Directions
Authorized official contact:
Name: Fruchtman, Susan
Phone: (480) 863-6269

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1912683699
LBN Legal business name Modern Sports Medicine Llc
DBA Doing business as
Authorized official Fruchtman, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2023
Last updated Jun 26th, 2023 - about last year

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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