Institute For Low Back Care Llc in Fargo - Specialist
Institute For Low Back Care Llc - NPI 1124125109
Institute For Low Back Care Llc is a Specialist in Fargo, North Dakota. Institute For Low Back Care Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Institute For Low Back Care Llc is 1124125109. The last update date is 2013-05-07.
Institute For Low Back Care Llc's current location address is 300 Main Ave, Fargo, North Dakota. You can contact this provider via phone number 7012970817 and fax number 7012976870. The mailing address for Institute For Low Back Care Llc is 300 Main Ave, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Institute For Low Back Care Llc |
|---|---|
| Address | 300 Main Ave, Fargo, North Dakota |
| Phone Number | 7012970817 |
| Fax Number | 7012976870 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sivanna M. Panjini |
| Credentials | MD |
| Telephone Number | 7012970817 |
NPI Number Detail
| NPI Number | 1124125109 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2013-05-07 |
Provider Mailing Address Detail
| Address | 300 Main Ave |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581031930 |
| Phone Number | 7012970817 |
| Fax Number | 7012976870 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 4806 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6826334 | ND | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Institute For Low Back Care Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Institute For Low Back Care Llc has been assigned the NPI (National Provider Identifier) 1124125109. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Institute For Low Back Care Llc is physically located?
The Institute For Low Back Care Llc is physically situated at the following address: 300 Main Ave, Fargo, ND, 581031930.
What is Institute For Low Back Care Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Institute For Low Back Care Llc is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124125109 to Institute For Low Back Care Llc?
The Institute For Low Back Care Llc received its 1124125109 assignment from the Centers for Medicare & Medicaid Services on 2006-09-20.
As of what date was the information regarding Institute For Low Back Care Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Institute For Low Back Care Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-05-07.