ADVANCED SPINE & JOINT; NPI #1447484118

Contact Information

ADVANCED SPINE & JOINT

2404 NEW HOLT RD
PADUCAH, KY 42001

Phone: 270-534-4803
Fax: 270-534-4024
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for ADVANCED SPINE & JOINT

NPI # 1447484118

LBN Legal business name ADVANCED SPINE & JOINT

Authorized official TRACIE BULLOCK - (ARNP)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/11/2009

Last updated 07/21/2010 - About 16 years ago

Identifiers

License #

3142P

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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