National Provider Identifier Database

SPINE AXIS MEDICAL INC
Electroneurodiagnostic


Contact Information

SPINE AXIS MEDICAL, INC.
10808 FOOTHILL BLVD
SUITE 160-409
RANCHO CUCAMONGA, CA91730-3889
Phone: 909-373-4633
Fax:
Website:
Specialty Taxonomy Code
* Electroneurodiagnostic 246ZE0600X
Customized Equipment 332BC3200X
EEG 2472E0500X
Phlebotomy 246RP1900X
Physician Office Based Coding Specialist 246YC3302X
Point of Service 305S00000X
Preferred Provider Organization 305R00000X
Specialist 174400000X
Technician, Other 247200000X

* Indicates primary specialty

NPI Profile & details for SPINE AXIS MEDICAL, INC.

NPI Number 1811365414
Legal business name
LBN
SPINE AXIS MEDICAL, INC.
Authorized official JOE WRIGHT - (CEO)
Entity Organization
Organization subpart No
Enumeration date 09/14/2015
Last updated 09/14/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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