National Provider Identifier Database

PHYSICIAN SURGERY CENTER LLC
Ambulatory Surgical


Contact Information

PHYSICIAN SURGERY CENTER LLC
1500 HIGHWAY 72 EAST
ROLLA, MO65401
Phone: 573-426-6301
Fax: 573-426-6304
Website:
Specialty Taxonomy Code
* Ambulatory Surgical 261QA1903X

* Indicates primary specialty

NPI Profile & details for PHYSICIAN SURGERY CENTER LLC

NPI Number 1710926589
Legal business name
LBN
PHYSICIAN SURGERY CENTER LLC
Authorized official ANN DETERS - (PRES)
Entity Organization
Organization subpart No
Enumeration date 06/06/2006
Last updated 08/05/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • Other: 168305 BCBS
  • Other: 511377 HEALTHLINK
  • Other: 514184 HEALTHLINK
  • Other: P00443325 RAILROAD MEDICARE

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.

Reviews for PHYSICIAN SURGERY CENTER LLC

There are currently no reviews for PHYSICIAN SURGERY CENTER LLC


NPIdb - Home
v2.201