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PROGRESSIVE SPINE CARE & REHABILITATION CLINIC NPI 1205935103


NPI Information

NPI: 1205935103
Provider Name: PROGRESSIVE SPINE CARE & REHABILITATION CLINIC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3301 BERRYWOOD DR
SUITE #101
COLUMBIA, MO
ZIP 65201
Phone: (573) 442-2442
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PROGRESSIVE SPINE CARE & REHABILITATION CLINIC is a specialist in Columbia, MO. The provider is 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. PROGRESSIVE SPINE CARE & REHABILITATION CLINIC NPI is 1205935103. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3301 BERRYWOOD DR
SUITE #101
COLUMBIA, MO
ZIP 65201-517
Phone: (573) 442-2442
Fax: (573) 634-3146

The provider's authorized official is Brenda L Woods .
The authorized official title is Owner/president and has the following contact phone number (573) 442-2442.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 1/29/2008.


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
1174400000XSpecialistR8F94MISSOURIYes

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: 11/14/2023

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