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Contact Information

BRAIN FIX SPECIALIST, LLC
503 N MAIN ST STE 657
PUEBLO, CO81003-3132
 Phone: 719-289-1191
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Environmental Modification

224ZE0001X
 

Neurorehabilitation

225XN1300X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BRAIN FIX SPECIALIST, LLC

NPI # 1730514183
LBN Legal business name BRAIN FIX SPECIALIST, LLC
Authorized official BEVERLY CARLSO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/04/2013
Last updated 09/04/2013 - About 13 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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