Pro Medicine Llc

LBN: Physical, Rehabilitative And Occupational Medicine Center Llc
Pro Medicine Llc is an health care organization with primary practice located at 511 W 29Th St Suite B, Pueblo CO 81008-1128. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Physical, Rehabilitative And Occupational Medicine Center Llc can be contacted via phone (719) 545-7802, or through Caughfield, Dwight Keith via phone (719) 545-7802.

Contact Information

Primary practice address
511 W 29Th St Suite B Pueblo CO 81008-1128
Phone: (719) 545-7802
Fax: (719) 545-7804
Website:
Map and Directions
Authorized official contact:
Name: Caughfield, Dwight Keith Doctor of Medicine (MD)
Phone: (719) 545-7802

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 30495 Colorado

Profile Details

NPI number 1407980675
LBN Legal business name Physical, Rehabilitative And Occupational Medicine Center Llc
DBA Doing business as Pro Medicine Llc
Authorized official Caughfield, Dwight Keith Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1407980675 NPPES
Colorado MEDICAID 01304955

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