Southwest Sports And Spine Llc
LBN: Southwest Sports And Spine Llc
Southwest Sports And Spine Llc is an health care organization with primary practice located at 5860 N La Cholla Blvd Ste 150 , Tucson AZ 85741-3562. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty.
Southwest Sports And Spine Llc can be contacted via phone (520) 395-0512, or through Johnson, Eugene via phone (520) 395-0512.
Contact Information
Primary practice address
5860 N La Cholla Blvd Ste 150
Tucson AZ 85741-3562
Phone: (520) 395-0512
Fax: (520) 505-4108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | Arizona | |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X |
Profile Details
| NPI number | 1033448576 |
|---|---|
| LBN Legal business name | Southwest Sports And Spine Llc |
| DBA Doing business as | |
| Authorized official | Johnson, Eugene Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 11th, 2009 |
| Last updated | Jul 21st, 2014 - about 11 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 | 1033448576 | NPPES |
| Arizona | MEDICAID | 498019 |
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