National Provider Identifier Database

ADVANCED SPINE AND PAIN SURGERY CENTERS LLC
Ambulatory Surgical


Contact Information

ADVANCED SPINE AND PAIN SURGERY CENTERS LLC
3525 N CENTRAL AVE
PHOENIX, AZ85012-2101
Phone: 480-573-0210
Fax: 480-573-0211
Website:
Specialty Taxonomy Code
* Ambulatory Surgical 261QA1903X

* Indicates primary specialty

NPI Profile & details for ADVANCED SPINE AND PAIN SURGERY CENTERS LLC

NPI Number 1023604931
Legal business name
LBN
ADVANCED SPINE AND PAIN SURGERY CENTERS LLC
Authorized official JARRET LEATHEM - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/15/2020
Last updated 12/15/2020 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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