Spine Clinic Of Baton Rouge in Baton Rouge - Rehabilitation Practitioner
Spine Clinic Of Baton Rouge - NPI 1477689305
Spine Clinic Of Baton Rouge is a Rehabilitation Practitioner in Baton Rouge, Louisiana. Spine Clinic Of Baton Rouge practices all healthcare services and medical treatments related to Rehabilitation Practitioner. The NPI Number for Spine Clinic Of Baton Rouge is 1477689305. The last update date is 2020-08-22.
Spine Clinic Of Baton Rouge's current location address is 5211 Essen Ln, Baton Rouge, Louisiana. You can contact this provider via phone number 2257665050 and fax number 2257662052. The mailing address for Spine Clinic Of Baton Rouge is 5211 Essen Ln, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Spine Clinic Of Baton Rouge |
|---|---|
| Address | 5211 Essen Ln, Baton Rouge, Louisiana |
| Phone Number | 2257665050 |
| Fax Number | 2257662052 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ivanicky John George |
| Telephone Number | 2257665050 |
NPI Number Detail
| NPI Number | 1477689305 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5211 Essen Ln |
|---|---|
| City | Baton Rouge |
| State | Louisiana (LA) |
| Post Code | 708093564 |
| Phone Number | 2257665050 |
| Fax Number | 2257662052 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation Practitioner |
|---|---|
| Taxonomy | 225400000X |
| Licence No | 24904 |
|
Definition: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
|
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What is the unique identifier code issued to Spine Clinic Of Baton Rouge by the Centers for Medicare & Medicaid Services (CMS)?
The Spine Clinic Of Baton Rouge has been assigned the NPI (National Provider Identifier) 1477689305. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Spine Clinic Of Baton Rouge's physical address?
The Spine Clinic Of Baton Rouge is physically located at 5211 Essen Ln, in the city of Baton Rouge, LA, with the postal code 708093564.
What is Spine Clinic Of Baton Rouge's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Spine Clinic Of Baton Rouge's specialized field of practice is Rehabilitation Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 225400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1477689305 to Spine Clinic Of Baton Rouge?
The Centers for Medicare & Medicaid Services assigned the 1477689305 to Spine Clinic Of Baton Rouge on 2007-02-26.
When was the information pertaining to Spine Clinic Of Baton Rouge most recently updated or revised?
The details related to Spine Clinic Of Baton Rouge, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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