Progressive Sports Medicine, Pc

LBN: Progressive Sports Medicine, Pc
Progressive Sports Medicine, Pc is an health care organization with primary practice located at 404 Mcfarlan Rd Suite 201, Kennett Square PA 19348-2479. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is the primary health care specialty. Progressive Sports Medicine, Pc can be contacted via phone (610) 444-5406, or through Graveley, Michael J. via phone (610) 444-5406.

Contact Information

Primary practice address
404 Mcfarlan Rd Suite 201 Kennett Square PA 19348-2479
Phone: (610) 444-5406
Fax: (610) 444-5907
Website:
Map and Directions
Authorized official contact:
Name: Graveley, Michael J. Doctor of Medicine (MD)
Phone: (610) 444-5406

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Pennsylvania
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X Pennsylvania

Profile Details

NPI number 1780806240
LBN Legal business name Progressive Sports Medicine, Pc
DBA Doing business as
Authorized official Graveley, Michael J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Apr 14th, 2008 - about 16 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 1780806240 NPPES
Pennsylvania MEDICAID 101967721-0001

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