Spine Sports & Occupational Medicine P.C.

LBN: Spine Sports & Occupational Medicine P.C.
Spine Sports & Occupational Medicine P.C. is an health care organization with primary practice located at 15636 Southfield Rd , Allen Park MI 48101-2513. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF). Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Spine Sports & Occupational Medicine P.C. can be contacted via phone (313) 928-0700, or through Niskar, Fatmeh via phone (313) 928-0700.

Contact Information

Primary practice address
15636 Southfield Rd Allen Park MI 48101-2513
Phone: (313) 928-0700
Fax: (313) 928-0701
Website:
Map and Directions
Authorized official contact:
Name: Niskar, Fatmeh
Phone: (313) 928-0700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

Profile Details

NPI number 1962571125
LBN Legal business name Spine Sports & Occupational Medicine P.C.
DBA Doing business as
Authorized official Niskar, Fatmeh
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2006
Last updated Feb 2nd, 2024 - about last year

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 1962571125 NPPES
Michigan Other 0H217480 BCBSM

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