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Contact Information

ISPINE PLLC
23077 GREENFIELD ROAD
SUITE 280
SOUTHFIELD, MI48075
 Phone: 248-996-8714
 Fax: 248-595-8047
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ISPINE PLLC

NPI Number 1043446537
LBN Legal business name ISPINE PLLC
Authorized official STEFAN PRIBIL - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/10/2009
Last updated 09/20/2018 - About 8 years ago
Identifiers
FL License # ME97619
MI License # 4301111900
TX License # M5448
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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