Sports Extra Pc
LBN: Sports Extra Pc
Sports Extra Pc is an health care organization with primary practice located at 67 Walnut Ave Suite 202, Clark NJ 07066-1640. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty.
Sports Extra Pc can be contacted via phone (732) 388-7300, or through Gilsenan, Michele Theresa via phone (732) 388-7300.
Contact Information
Primary practice address
67 Walnut Ave Suite 202
Clark NJ 07066-1640
Phone: (732) 388-7300
Fax: (732) 388-1330
Website:
Authorized official contact:
Name: Gilsenan, Michele Theresa Doctor of Osteopathy (DO)
Phone: (732) 388-7300
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X |
Profile Details
NPI number | 1346296969 |
---|---|
LBN Legal business name | Sports Extra Pc |
DBA Doing business as | |
Authorized official | Gilsenan, Michele Theresa Doctor of Osteopathy (DO) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 25th, 2006 |
Last updated | Oct 18th, 2007 - 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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