Terre Haute Neurosurgical And Spine Clinic, Llc
LBN: Terre Haute Neurosurgical And Spine Clinic, Llc
Terre Haute Neurosurgical And Spine Clinic, Llc is an health care organization with primary practice located at 1530 N 7Th St Suite 107, Terre Haute IN 47807-1057. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Terre Haute Neurosurgical And Spine Clinic, Llc can be contacted via phone (812) 238-4900, or through Wilson, G Andrew via phone (812) 238-4900.
Contact Information
Primary practice address
1530 N 7Th St Suite 107
Terre Haute IN 47807-1057
Phone: (812) 238-4900
Fax: (812) 239-4921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 01057579A | Indiana |
Profile Details
| NPI number | 1225254808 |
|---|---|
| LBN Legal business name | Terre Haute Neurosurgical And Spine Clinic, Llc |
| DBA Doing business as | |
| Authorized official | Wilson, G Andrew Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Mar 17th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225254808 | NPPES |
| Indiana | Other | 000000295844 | BLUECROSS |
| Indiana | MEDICAID | 200452000A | BLUECROSS |
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