Surgical Specialty Associates, Pllc

LBN: Surgical Specialty Associates, Pllc
Surgical Specialty Associates, Pllc is an health care organization with primary practice located at 870 36Th Ave , Moline IL 61265-7159. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Surgical Specialty Associates, Pllc can be contacted via phone (563) 940-0537, or through Fierce, Nathan Michael via phone (563) 940-0537.

Contact Information

Primary practice address
870 36Th Ave Moline IL 61265-7159
Phone: (563) 940-0537
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fierce, Nathan Michael Doctor of Osteopathy (DO)
Phone: (563) 940-0537

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1831715143
LBN Legal business name Surgical Specialty Associates, Pllc
DBA Doing business as
Authorized official Fierce, Nathan Michael Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2020
Last updated Jun 23rd, 2020 - about 6 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 1831715143 NPPES
Illinois MEDICAID 036.127839

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