Norcal Neurosurgery Group

LBN: Spine And Neurosurgical Trauma Associates Of Northern California
Norcal Neurosurgery Group is an health care organization with primary practice located at 4690 Hoen Ave , Santa Rosa CA 95405-7823. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Neurological Surgery is the primary health care specialty. Spine And Neurosurgical Trauma Associates Of Northern California can be contacted via phone (707) 799-5911, or through Glickman, Scott via phone (707) 799-5911.

Contact Information

Primary practice address
4690 Hoen Ave Santa Rosa CA 95405-7823
Phone: (707) 799-5911
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Glickman, Scott Doctor of Osteopathy (DO)
Phone: (707) 799-5911

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 13305 California
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 13305 California

Profile Details

NPI number 1174925697
LBN Legal business name Spine And Neurosurgical Trauma Associates Of Northern California
DBA Doing business as Norcal Neurosurgery Group
Authorized official Glickman, Scott Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2014
Last updated Sep 17th, 2014 - about 10 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 1174925697 NPPES
Ohio MEDICAID 3102403

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