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Contact Information

ELITE SPINE AND MUSCULOSKELETAL CENTER PLLC
3351 EAGLE RUN DR NE
GRAND RAPIDS, MI49525-7070
 Phone: 616-325-1224
 Fax: 888-972-8067
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ELITE SPINE AND MUSCULOSKELETAL CENTER PLLC

NPI Number 1386998755
LBN Legal business name ELITE SPINE AND MUSCULOSKELETAL CENTER PLLC
Authorized official DEREK LADO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/06/2012
Last updated 04/21/2026 - About 1 months ago
Identifiers
MI License # 5101014670
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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