Pennsylvania State University Sports Medicine

LBN: The Pennsylvania State University
Pennsylvania State University Sports Medicine is an health care organization with primary practice located at 408 Old Main , University Park PA 16802-1505. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. The Pennsylvania State University can be contacted via phone (814) 865-4700, or through Bass, Mouzon via phone (972) 367-4845.

Contact Information

Primary practice address
408 Old Main University Park PA 16802-1505
Fax:
Website:
Authorized official contact:
Name: Bass, Mouzon

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD062970L Pennsylvania

Profile Details

NPI number 1861949869
LBN Legal business name The Pennsylvania State University
DBA Doing business as Pennsylvania State University Sports Medicine
Authorized official Bass, Mouzon
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2016
Last updated Feb 27th, 2024 - about 2 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.

Request for update

Popular Providers