<Unavail>

LBN: The Mog Llc
<Unavail> is an health care organization with primary practice located at 125 John Roberts Rd Ste 16 , South Portland ME 04106-6983. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as the primary health care specialty. The Mog Llc can be contacted via phone (207) 347-3030, or through Pribish, Christopher S via phone (207) 347-3030.

Contact Information

Primary practice address
125 John Roberts Rd Ste 16 South Portland ME 04106-6983
Phone: (207) 347-3030
Fax: (207) 536-4449
Website:
Map and Directions
Authorized official contact:
Name: Pribish, Christopher S ATC, CSCS, CSAC
Phone: (207) 347-3030

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT433 Maine
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT241 Maine
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT500 Maine

Profile Details

NPI number 1295242923
LBN Legal business name The Mog Llc
DBA Doing business as <Unavail>
Authorized official Pribish, Christopher S ATC, CSCS, CSAC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2018
Last updated Jun 16th, 2018 - about 8 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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