Sports Enhancement Center, Llc

LBN: Orthopedic And Sports Enhancement Center, Llc
Sports Enhancement Center, Llc is an health care organization with primary practice located at 2406 E Empire St , Bloomington IL 61704-3630. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Other Service Providers / Specialist is the primary health care specialty. Orthopedic And Sports Enhancement Center, Llc can be contacted via phone (309) 663-9300, or through Dustman, J. Anthony via phone (309) 663-9300.

Contact Information

Primary practice address
2406 E Empire St Bloomington IL 61704-3630
Phone: (309) 663-9300
Fax: (309) 661-1670
Website:
Map and Directions
Authorized official contact:
Name: Dustman, J. Anthony
Phone: (309) 663-9300

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1003900820
LBN Legal business name Orthopedic And Sports Enhancement Center, Llc
DBA Doing business as Sports Enhancement Center, Llc
Authorized official Dustman, J. Anthony
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Sep 12th, 2017 - about 7 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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