<Unavail>

LBN: Star Rehab Prof Physicians, Llc
<Unavail> is an health care organization with primary practice located at 201 S Mcculloch Blvd , Pueblo West CO 81007-2892. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Star Rehab Prof Physicians, Llc can be contacted via phone (719) 561-5377, or through Tsuha, Lynda Mariko via phone (719) 561-5377.

Contact Information

Primary practice address
201 S Mcculloch Blvd Pueblo West CO 81007-2892
Phone: (719) 561-5377
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tsuha, Lynda Mariko
Phone: (719) 561-5377

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44011 Colorado
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 31344 Kansas
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 39112 Colorado
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 04-31652 Kansas

Profile Details

NPI number 1922000421
LBN Legal business name Star Rehab Prof Physicians, Llc
DBA Doing business as <Unavail>
Authorized official Tsuha, Lynda Mariko
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2005
Last updated Aug 6th, 2009 - about 17 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 1922000421 NPPES
Kansas Other DE2582 RR MEDICARE
Kansas MEDICAID 200362680A RR MEDICARE
Kansas MEDICAID 53283589 RR MEDICARE
Kansas Other DE2582 RR MEDICARE

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