Sps Practice Group, Llc

LBN: Sps Practice Group, Llc
Sps Practice Group, Llc is an health care organization with primary practice located at 3220 Bluff Creek Dr , Columbia MO 65201-3663. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Sps Practice Group, Llc can be contacted via phone (573) 690-6129, or through Shock, Leslie via phone (573) 224-8200.

Contact Information

Primary practice address
3220 Bluff Creek Dr Columbia MO 65201-3663
Phone: (573) 690-6129
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shock, Leslie Doctor of Medicine (MD)
Phone: (573) 224-8200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X

Profile Details

NPI number 1053046888
LBN Legal business name Sps Practice Group, Llc
DBA Doing business as
Authorized official Shock, Leslie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2022
Last updated Aug 15th, 2023 - 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 1053046888 NPPES
Missouri Other 1053046888 NPI

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