Axis Spine Pllc

LBN: Axis Spine Pllc
Axis Spine Pllc is an health care organization with primary practice located at 1641 E Polston Ave Suite 101, Post Falls ID 83854-7852. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Axis Spine Pllc can be contacted via phone (208) 457-4208, or through Jameson, Jessica via phone (208) 457-4208.

Contact Information

Primary practice address
1641 E Polston Ave Suite 101 Post Falls ID 83854-7852
Phone: (208) 457-4208
Fax: (208) 457-4197
Website:
Map and Directions
Authorized official contact:
Name: Jameson, Jessica
Phone: (208) 457-4208

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1962944272
LBN Legal business name Axis Spine Pllc
DBA Doing business as
Authorized official Jameson, Jessica
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2016
Last updated Apr 14th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962944272 NPPES
Idaho MEDICAID 1962944272

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