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LINDENWOOD UNIVERSITY-BELLEVILLE NPI 1316499155


NPI Information

NPI: 1316499155
Provider Name: LINDENWOOD UNIVERSITY-BELLEVILLE

Doing Business As: LINDENWOOD UNIVERSITY-BELLEVILLE SPORTS MEDICINE

Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

Address:
2600 W MAIN ST
BELLEVILLE, IL
ZIP 62226
Phone: (972) 367-4845
Get Directions

LINDENWOOD UNIVERSITY-BELLEVILLE is a sports medicine orthopaedic surgery in Belleville, IL. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. LINDENWOOD UNIVERSITY-BELLEVILLE NPI is 1316499155. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lindenwood University-belleville Sports Medicine.

The provider's business location address is:

2600 W MAIN ST
BELLEVILLE, IL
ZIP 62226-651
Phone: (972) 367-4845

The provider's authorized official is Mouzon Bass .
The authorized official title is Agent and has the following contact phone number (972) 367-4845.

The enumeration date for this NPI number is 10/27/2016 and was last updated on 10/27/2016.


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
1207XX0005XOrthopaedic SurgerySports Medicine036129925ILLINOISYes

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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