Ptr Sports, A Medical Corporation

LBN: Ptr Sports, A Medical Corporation
Ptr Sports, A Medical Corporation is an health care organization with primary practice located at 1825 Civic Center Dr Suite 25, Santa Clara CA 95050-7301. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Ptr Sports, A Medical Corporation can be contacted via phone (408) 404-4700, or through Blue, Jeffrey G via phone (408) 404-4700.

Contact Information

Primary practice address
1825 Civic Center Dr Suite 25 Santa Clara CA 95050-7301
Phone: (408) 404-4700
Fax: (408) 404-4701
Website:
Map and Directions
Authorized official contact:
Name: Blue, Jeffrey G Doctor of Medicine (MD)
Phone: (408) 404-4700

Health care specialties

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

Profile Details

NPI number 1083750764
LBN Legal business name Ptr Sports, A Medical Corporation
DBA Doing business as
Authorized official Blue, Jeffrey G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2007
Last updated Oct 28th, 2008 - about 17 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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