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PREMIER BACK REHABILITATION CENTER PC NPI 1598829327


NPI Information

NPI: 1598829327
Provider Name: PREMIER BACK REHABILITATION CENTER, PC
Classification: Orthopaedic Surgery - 207XX0801X
Entity Type: Organization

Specialization: Orthopaedic Trauma

Address:
1515 FORTINO BLVD STE 150
STE 150
PUEBLO, CO
ZIP 81008
Phone: (719) 544-1161
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PREMIER BACK REHABILITATION CENTER, PC is an orthopaedic trauma orthopaedic surgery in Pueblo, CO. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. PREMIER BACK REHABILITATION CENTER, PC NPI is 1598829327. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1515 FORTINO BLVD STE 150
STE 150
PUEBLO, CO
ZIP 81008-976
Phone: (719) 544-1161
Fax: (719) 544-1128

The provider's authorized official is Jere Gene Sutton .
The authorized official title is Ceo Owner and has the following contact phone number (719) 544-1161.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 4/30/2008.


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
1207XX0801XOrthopaedic SurgeryOrthopaedic TraumaYes

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
1C531868MEDICARE PINCOLORADO
25277360001MEDICARE NSCCOLORADO
3DD3094MEDICARE PINCOLORADO

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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