Integrated Sport And Spine Clinic Of Madison Llc in Madison - Multi-specialty
Integrated Sport And Spine Clinic Of Madison Llc - NPI 1225296874
Integrated Sport And Spine Clinic Of Madison Llc is a Multi-specialty in Madison, Wisconsin. Integrated Sport And Spine Clinic Of Madison Llc practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Integrated Sport And Spine Clinic Of Madison Llc is 1225296874. The last update date is 2008-05-30.
Integrated Sport And Spine Clinic Of Madison Llc's current location address is 3109 Commercial Ave, Madison, Wisconsin. You can contact this provider via phone number 6082718009 and fax number 6082439290. The mailing address for Integrated Sport And Spine Clinic Of Madison Llc is 3109 Commercial Ave, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Integrated Sport And Spine Clinic Of Madison Llc |
|---|---|
| Address | 3109 Commercial Ave, Madison, Wisconsin |
| Phone Number | 6082718009 |
| Fax Number | 6082439290 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Heitmann David |
| Credentials | DC, MS |
| Telephone Number | 6082718009 |
NPI Number Detail
| NPI Number | 1225296874 |
|---|---|
| Provider Enumeration Date | 2008-05-30 |
| Last Updated Date | 2008-05-30 |
Provider Mailing Address Detail
| Address | 3109 Commercial Ave |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537141447 |
| Phone Number | 6082718009 |
| Fax Number | 6082439290 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
| Licence No | 4401-12 |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
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What is the unique 10-digit identification code assigned to Integrated Sport And Spine Clinic Of Madison Llc by the Centers for Medicare & Medicaid Services?
The Integrated Sport And Spine Clinic Of Madison Llc has been issued the NPI (National Provider Identifier) 1225296874, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Integrated Sport And Spine Clinic Of Madison Llc's facilities are geographically located?
The facilities of Integrated Sport And Spine Clinic Of Madison Llc are physically situated at the following location: 3109 Commercial Ave, Madison, WI, 537141447.
What is Integrated Sport And Spine Clinic Of Madison Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Integrated Sport And Spine Clinic Of Madison Llc is Multi-specialty, and the taxonomy code that classifies this field of practice is 261Qm1300X.
On what date did Integrated Sport And Spine Clinic Of Madison Llc receive its 1225296874 assignment from the Centers for Medicare & Medicaid Services?
The Integrated Sport And Spine Clinic Of Madison Llc was assigned its 1225296874 on 2008-05-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Integrated Sport And Spine Clinic Of Madison Llc most recently updated?
The details pertaining to the Integrated Sport And Spine Clinic Of Madison Llc, including its address, specialty, and other relevant information, were last refreshed on 2008-05-30.
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