LE REVE SPINAL CARE CLINIC CO. NPI 1336506310

NPI Information

NPI: 1336506310
Provider Name: LE REVE SPINAL CARE CLINIC CO.

Doing Business As: LE REVE SPINAL CARE CLINIC

Classification: Chiropractor - 111NI0013X
Entity Type: Organization

Specialization: Independent Medical Examiner

Address:
1827 POWERS FERRY RD SE
BUILDING 7 , SUITE 150
ATLANTA, GA
ZIP 30339
Phone: (678) 401-3803
Get Directions

LE REVE SPINAL CARE CLINIC CO. is an independent medical examiner chiropractor in Atlanta, GA. The provider is a chiropractor and special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. LE REVE SPINAL CARE CLINIC CO. NPI is 1336506310. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Le Reve Spinal Care Clinic.

The provider's business location address is:

1827 POWERS FERRY RD SE
BUILDING 7 , SUITE 150
ATLANTA, GA
ZIP 30339-621
Phone: (678) 401-3803

The provider's authorized official is Amir Ashkan Banishahi .
The authorized official title is President/ Chiropractor and has the following contact phone number (310) 795-5265.

The enumeration date for this NPI number is 1/22/2016 and was last updated on 9/19/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111NR0200X	Chiropractor	Radiology	CHIR009638	GEORGIA	No
2	111NN0400X	Chiropractor	Neurology	CHIR009638	GEORGIA	No
3	111N00000X	Chiropractor		CHIR009638	GEORGIA	No
4	111NI0013X	Chiropractor	Independent Medical Examiner	CHIR009638	GEORGIA	No
5	111NI0900X	Chiropractor	Internist	CHIR009638	GEORGIA	No
6	111NR0400X	Chiropractor	Rehabilitation	CHIR009638	GEORGIA	No
7	111NS0005X	Chiropractor	Sports Physician	CHIR009638	GEORGIA	No
8	111NX0800X	Chiropractor	Orthopedic	CHIR009638	GEORGIA	No
9	111NI0900X	Chiropractor	Internist	33704	CALIFORNIA	No
10	111NX0800X	Chiropractor	Orthopedic	33704	CALIFORNIA	No
11	111NR0400X	Chiropractor	Rehabilitation	33704	CALIFORNIA	No
12	111NS0005X	Chiropractor	Sports Physician	33704	CALIFORNIA	No
13	111NP0017X	Chiropractor	Pediatric Chiropractor	33704	CALIFORNIA	No
14	111NR0200X	Chiropractor	Radiology	33704	CALIFORNIA	No
15	111NI0013X	Chiropractor	Independent Medical Examiner	33704	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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