Impact Sports & Spine Llc

LBN: Impact Sports & Spine Llc
Impact Sports & Spine Llc is an health care organization with primary practice located at 9420 Key West Ave Ste 325 , Rockville MD 20850-6529. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Impact Sports & Spine Llc can be contacted via phone (703) 789-3216, or through Itskevich, David via phone (703) 789-3216.

Contact Information

Primary practice address
9420 Key West Ave Ste 325 Rockville MD 20850-6529
Phone: (703) 789-3216
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Itskevich, David Doctor of Osteopathy (DO)
Phone: (703) 789-3216

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X

Profile Details

NPI number 1598506552
LBN Legal business name Impact Sports & Spine Llc
DBA Doing business as
Authorized official Itskevich, David Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2024
Last updated Jun 4th, 2024 - about 2 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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