Brain Restoration Clinic, Pllc
LBN: Brain Restoration Clinic, Pllc
Brain Restoration Clinic, Pllc is an health care organization with primary practice located at 1040 Edgewater Corp Pkwy Suite 106, Indian Land SC 29707-4514. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as the primary health care specialty.
Brain Restoration Clinic, Pllc can be contacted via phone (704) 541-9117, or through Corbier, Jean-Ronel via phone (704) 541-9117.
Contact Information
Primary practice address
1040 Edgewater Corp Pkwy Suite 106
Indian Land SC 29707-4514
Phone: (704) 541-9117
Fax: (704) 541-9137
Website:
Authorized official contact:
Name: Corbier, Jean-Ronel Doctor of Medicine (MD)
Phone: (704) 541-9117
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 200601910 | North Carolina |
Profile Details
| NPI number | 1871912667 |
|---|---|
| LBN Legal business name | Brain Restoration Clinic, Pllc |
| DBA Doing business as | |
| Authorized official | Corbier, Jean-Ronel Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 9th, 2014 |
| Last updated | Aug 5th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871912667 | NPPES |
| North Carolina | MEDICAID | 5905648 |
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