Physical Medicine Clinic Of Granite City Ltd

LBN: Physical Medicine Clinic Of Granite City Ltd
Physical Medicine Clinic Of Granite City Ltd is an health care organization with primary practice located at 2861 Madison Ave , Granite City IL 62040-3614. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is the primary health care specialty. Physical Medicine Clinic Of Granite City Ltd can be contacted via phone (618) 877-4000, or through Brasfield, Bridget via phone (618) 877-4000.

Contact Information

Primary practice address
2861 Madison Ave Granite City IL 62040-3614
Phone: (618) 877-4000
Fax: (618) 877-0874
Website:
Map and Directions
Authorized official contact:
Name: Brasfield, Bridget Doctor of Chiropractic (DC)
Phone: (618) 877-4000

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038009646 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209007631 Illinois

Profile Details

NPI number 1992039747
LBN Legal business name Physical Medicine Clinic Of Granite City Ltd
DBA Doing business as
Authorized official Brasfield, Bridget Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2009
Last updated Oct 15th, 2013 - about 12 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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