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Contact Information

NEW LIFE SPINE CENTER LLC
1331 CONANT STREET #104
MAUMEE, OH43537
 Phone: 419-724-5433
 Fax: 419-720-6994
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for NEW LIFE SPINE CENTER LLC

NPI Number 1578756201
LBN Legal business name NEW LIFE SPINE CENTER LLC
Authorized official THOMAS BAUR - (CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/27/2007
Last updated 03/07/2013 - About 13 years ago
Identifiers
OH License # 3371
OH Medicaid 2483227
OH Other 9360541 MEDICARE GROUP NUMBER
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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