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Contact Information

ALBANNA NEUROSURGICAL CONSULTANTS A PROFESSIONAL CORP
5000 CEDAR PLAZA PKWY
SUITE 220
SAINT LOUIS, MO63128
 Phone: 314-849-9090
 Fax: 314-849-4165
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Chiropractor

111N00000X 35 Chiropractic
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ALBANNA NEUROSURGICAL CONSULTANTS A PROFESSIONAL CORP

NPI Number 1811056005
LBN Legal business name ALBANNA NEUROSURGICAL CONSULTANTS A PROFESSIONAL CORP
Authorized official CHRIS KETCHERSIDE - (PRACTICE ADM CORP SEC)
Entity Organization
Organization subpart 1 No
Enumeration date 12/06/2006
Last updated 10/26/2011 - About 15 years ago
Identifiers
MD Medicaid 508602802
Other 096K1 BCBS
Other 3692 GHP
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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