Premier Spine Care Overland Park
LBN: Premier Spine Care, P.A.
Premier Spine Care Overland Park is an health care organization with primary practice located at 7840 W 165Th St Ste 280 , Overland Park KS 66223-3022. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as the primary health care specialty.
Premier Spine Care, P.A. can be contacted via phone (913) 322-2700, or through Ciccarelli, John M via phone (913) 322-2700.
Contact Information
Primary practice address
7840 W 165Th St Ste 280
Overland Park KS 66223-3022
Phone: (913) 322-2700
Fax: (913) 322-7890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X |
Profile Details
| NPI number | 1376292318 |
|---|---|
| LBN Legal business name | Premier Spine Care, P.A. |
| DBA Doing business as | Premier Spine Care Overland Park |
| Authorized official | Ciccarelli, John M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 18th, 2022 |
| Last updated | Mar 18th, 2022 - about 2 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 | 1376292318 | NPPES |
| Kansas | Other | 0430147 | STATE LICENSE |
| Kansas | Other | 0431121 | STATE LICENSE |
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