Southeastern Pain & Rehabilitation Physicians, Pc

LBN: Southeastern Pain & Rehabilitation Physicians, Pc
Southeastern Pain & Rehabilitation Physicians, Pc is an health care organization with primary practice located at 1050 Ruby Tyler Pkwy , Tuscaloosa AL 35404-2958. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Southeastern Pain & Rehabilitation Physicians, Pc can be contacted via phone (205) 759-7246, or through Spruill, Wesley L via phone (205) 759-7246.

Contact Information

Primary practice address
1050 Ruby Tyler Pkwy Tuscaloosa AL 35404-2958
Fax: (205) 759-7348
Website:
Authorized official contact:
Name: Spruill, Wesley L Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X

Profile Details

NPI number 1467446237
LBN Legal business name Southeastern Pain & Rehabilitation Physicians, Pc
DBA Doing business as
Authorized official Spruill, Wesley L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2005
Last updated Jan 6th, 2010 - about 12 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 1467446237 NPPES
Alabama Other G111 BC OF AL
Alabama MEDICAID 529901330 BC OF AL
Alabama Other DA7618 BC OF AL

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