Performance Spine & Sports Specialists, Pa
LBN: Performance Spine & Sports Specialists, Pa
Performance Spine & Sports Specialists, Pa is an health care organization with primary practice located at 1507 Westover Ter Ste B Suite A, Greensboro NC 27408-7121. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty.
Performance Spine & Sports Specialists, Pa can be contacted via phone (336) 501-3796, or through Dalton-Bethea, Shawn via phone (336) 501-3796.
Contact Information
Primary practice address
1507 Westover Ter Ste B Suite A
Greensboro NC 27408-7121
Phone: (336) 501-3796
Fax: (336) 333-5477
Website:
Authorized official contact:
Name: Dalton-Bethea, Shawn Doctor of Medicine (MD)
Phone: (336) 501-3796
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X |
Profile Details
| NPI number | 1366761793 |
|---|---|
| LBN Legal business name | Performance Spine & Sports Specialists, Pa |
| DBA Doing business as | |
| Authorized official | Dalton-Bethea, Shawn Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 25th, 2010 |
| Last updated | Dec 1st, 2014 - 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 | 1366761793 | NPPES |
| North Carolina | MEDICAID | 5909458 |
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