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Contact Information

HEARTLAND SPINE, LLC
3250 GORDONVILLE RD
SUITE 450
CAPE GIRARDEAU, MO63703-5056
 Phone: 573-837-9989
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for HEARTLAND SPINE LLC · (Female)

NPI Number 1528215332
Status Active
Credentials
Entity Individual
Enumeration date 08/22/2008
Last updated 07/15/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 2006012799
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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