The Sports Neurology Clinic

LBN: Sports Neurology Clinic
The Sports Neurology Clinic is an health care organization with primary practice located at 8273 Grand River Rd Ste 210 , Brighton MI 48114-9346. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is the primary health care specialty. Sports Neurology Clinic can be contacted via phone (734) 223-4581, or through Kutcher, Jeffrey via phone (734) 223-4581.

Contact Information

Primary practice address
8273 Grand River Rd Ste 210 Brighton MI 48114-9346
Phone: (734) 223-4581
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kutcher, Jeffrey Doctor of Medicine (MD)
Phone: (734) 223-4581

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X
Allopathic & Osteopathic Physicians / Sports Medicine 2084S0010X

Profile Details

NPI number 1275043853
LBN Legal business name Sports Neurology Clinic
DBA Doing business as The Sports Neurology Clinic
Authorized official Kutcher, Jeffrey Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2017
Last updated Dec 5th, 2017 - about 7 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 1275043853 NPPES
Louisiana Other MD.203771 LOUISIANA STATE BOARD OF MEDICAL EXAMINERS
Louisiana Other 51983 LOUISIANA STATE BOARD OF MEDICAL EXAMINERS
Louisiana Other 4301073973 LOUISIANA STATE BOARD OF MEDICAL EXAMINERS
Louisiana Other 8919590-1205 LOUISIANA STATE BOARD OF MEDICAL EXAMINERS
Louisiana Other ME131286 LOUISIANA STATE BOARD OF MEDICAL EXAMINERS

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