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Contact Information

CROSSROADS SURGICAL ASSISTING LLC
5473 CARIBOU DR
FREDERICK, CO80504-5813
 Phone: 178-525-9469
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CROSSROADS SURGICAL ASSISTING LLC

NPI # 1508440868
LBN Legal business name CROSSROADS SURGICAL ASSISTING LLC
Authorized official THERESA HAINES - (FIRST ASSISTANT/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/11/2021
Last updated 05/11/2021 - About 5 years ago
Identifiers n/a
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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