National Provider Identifier Database

ADVANCED SPINE JOINT
Family


Contact Information

ADVANCED SPINE & JOINT
2404 NEW HOLT RD
PADUCAH, KY42001
Phone: 270-534-4803
Fax: 270-534-4024
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for ADVANCED SPINE & JOINT

NPI Number 1447484118
Legal business name
LBN
ADVANCED SPINE & JOINT
Authorized official TRACIE BULLOCK - (ARNP)
Entity Organization
Organization subpart No
Enumeration date 05/11/2009
Last updated 07/21/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 3142P

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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