National Provider Identifier Database

SOUTHEASTERN OSTEOPOROSIS SERVICES INC
Bone Densitometry Radiologic Technologist

A radiologic technologist who specializes in bone densitometry and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy, in performance of bone density imaging, exam techniques, equipment protocols, radiation safety, and patient care.


Contact Information

SOUTHEASTERN OSTEOPOROSIS SERVICES INC
4511 N DAVIS HWY
SUITE 1-C
PENSACOLA, FL32503-2720
Phone: 850-477-0775
Fax:
Website:
Specialty Taxonomy Code
* Bone Densitometry Radiologic Technologist 2471B0102X

* Indicates primary specialty

NPI Profile & details for SOUTHEASTERN OSTEOPOROSIS SERVICES INC

NPI Number 1407848211
Legal business name
LBN
SOUTHEASTERN OSTEOPOROSIS SERVICES INC
Authorized official STEPHEN BAST - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/17/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: JR3419100
  • AL Medicaid: 34252
  • FL Other: 3405722 UNITED HEALTH CARE

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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