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Contact Information

SPINE SPA
300 CHRISTIANA MEDICAL CTR
CHRISTIANA, DE19702-1653
 Phone: 302-731-0869
 Fax: 302-292-0669
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for SPINE SPA

NPI # 1841592771
LBN Legal business name SPINE SPA
Authorized official BRENDA FAIRCHILD - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/29/2010
Last updated 11/29/2010 - About 16 years ago
Identifiers
DE License # F1-0000788
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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