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CENTRAL SPORT AND SPINE LLC NPI 1114352853


NPI Information

NPI: 1114352853
Provider Name: CENTRAL SPORT AND SPINE LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
160 SW SCALEHOUSE LOOP
SUITE 140
BEND, OR
ZIP 97702
Phone: (541) 617-9969
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CENTRAL SPORT AND SPINE LLC is a chiropractor in Bend, OR. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. CENTRAL SPORT AND SPINE LLC NPI is 1114352853. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

160 SW SCALEHOUSE LOOP
SUITE 140
BEND, OR
ZIP 97702-284
Phone: (541) 617-9969
Fax: (541) 617-9890

The provider's authorized official is James Thornburg .
The authorized official title is Sole Member and has the following contact phone number (503) 317-2944.

The enumeration date for this NPI number is 9/12/2013 and was last updated on 1/27/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor5125OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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