Southeast Spine Center, Llc

LBN: Southeast Spine Center, Llc
Southeast Spine Center, Llc is an health care organization with primary practice located at 17431 Jefferson Hwy Suite A, Baton Rouge LA 70817-7484. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Southeast Spine Center, Llc can be contacted via phone (225) 753-6333, or through Ivanicky, George J via phone (225) 753-6333.

Contact Information

Primary practice address
17431 Jefferson Hwy Suite A Baton Rouge LA 70817-7484
Phone: (225) 753-6333
Fax: (225) 753-6336
Website:
Map and Directions
Authorized official contact:
Name: Ivanicky, George J
Phone: (225) 753-6333

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1295008712
LBN Legal business name Southeast Spine Center, Llc
DBA Doing business as
Authorized official Ivanicky, George J
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2012
Last updated Feb 14th, 2012 - about 14 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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