Clarksville Pain Consultants

LBN: Superior Healthcare, Pllc
Clarksville Pain Consultants is an health care organization with primary practice located at 2269 Wilma Rudolph Blvd Suite 107, Clarksville TN 37040-3179. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Sports Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Sports Medicine is the primary health care specialty. Superior Healthcare, Pllc can be contacted via phone (931) 905-1720, or through Longo, Kyle via phone (931) 905-1720.

Contact Information

Primary practice address
2269 Wilma Rudolph Blvd Suite 107 Clarksville TN 37040-3179
Phone: (931) 905-1720
Fax: (931) 905-1721
Website:
Map and Directions
Authorized official contact:
Name: Longo, Kyle
Phone: (931) 905-1720

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC0000002132 Tennessee
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X MD45045 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000012014 Tennessee

Profile Details

NPI number 1386886265
LBN Legal business name Superior Healthcare, Pllc
DBA Doing business as Clarksville Pain Consultants
Authorized official Longo, Kyle
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2009
Last updated Sep 2nd, 2010 - about 14 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 1386886265 NPPES
Tennessee MEDICAID 1513752
Tennessee Other DO8673

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