Mountain Sports Chiropractic Llc

LBN: Mountain Sports Chiropractic Llc
Mountain Sports Chiropractic Llc is an health care organization with primary practice located at 270 E 8Th Ave # N202 , Durango CO 81301-5708. The organization recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as the primary health care specialty. Mountain Sports Chiropractic Llc can be contacted via phone (970) 403-5759, or through Miller, Diana C via phone (970) 403-5759.

Contact Information

Primary practice address
270 E 8Th Ave # N202 Durango CO 81301-5708
Phone: (970) 403-5759
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miller, Diana C Doctor of Chiropractic (DC)
Phone: (970) 403-5759

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X

Profile Details

NPI number 1891466207
LBN Legal business name Mountain Sports Chiropractic Llc
DBA Doing business as
Authorized official Miller, Diana C Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2021
Last updated Sep 24th, 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 1891466207 NPPES
Pennsylvania MEDICAID 1376082081
Pennsylvania MEDICAID 1760874663

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