SPORT & SPINE CLINIC LP NPI 1699711630

NPI Information

NPI: 1699711630
Provider Name: SPORT & SPINE CLINIC LP

Doing Business As: SPORT & SPINE

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
327 N 17TH AVE
SUITE 7
WAUSAU, WI
ZIP 54401
Phone: (715) 845-2942
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SPORT & SPINE CLINIC LP is a rehabilitation clinic center in Wausau, WI. SPORT & SPINE CLINIC LP NPI is 1699711630. The provider is registered as an organization entity type.
The provider Is Doing Business As Sport & Spine.

The provider's business location address is:

327 N 17TH AVE
SUITE 7
WAUSAU, WI
ZIP 54401-225
Phone: (715) 845-2942
Fax: (715) 842-3416

The provider's authorized official is Richard Binstein .
The authorized official title is Evp and has the following contact phone number (713) 297-7000.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 1/17/2022.

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	261QR0400X	Clinic/Center	Rehabilitation			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: 11/14/2023

NPI Synchronization or Removal

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