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THE SPINE WORX LLC NPI 1548467640


NPI Information

NPI: 1548467640
Provider Name: THE SPINE WORX LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
983 S CREASY LN
LAFAYETTE, IN
ZIP 47905
Phone: (765) 446-0000
Get Directions

THE SPINE WORX LLC is a medical specialty clinic center in Lafayette, IN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). THE SPINE WORX LLC NPI is 1548467640. The provider is registered as an organization entity type.

The provider's business location address is:

983 S CREASY LN
LAFAYETTE, IN
ZIP 47905-800
Phone: (765) 446-0000
Fax: (317) 245-2153

The provider's authorized official is James Pucka .
The authorized official title is Owner and has the following contact phone number (765) 446-0000.

The enumeration date for this NPI number is 7/2/2007 and was last updated on 6/4/2009.


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
1261QM2500XClinic/CenterMedical Specialty08001350INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F14099MEDICARE UPININDIANA
2U25354MEDICARE PININDIANA

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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