| Spinal Concepts, Llc | |
|
301 W Jefferson Blvd Ste 200 Fort Wayne IN 46802-3043 | |
| (210) 598-4277 | |
| Not Available |
| Full Name | Spinal Concepts, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 301 W Jefferson Blvd Ste 200, Fort Wayne, Indiana |
| Authorized Official Name and Position | Roxanna Laroque (DIRECTOR OF CLIENT EXPERIENCE) |
| Authorized Official Contact | 2105982801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spinal Concepts, Llc 1141 N Loop 1604 E #105-612 San Antonio TX 78232 Ph: (260) 203-0035 | Spinal Concepts, Llc 301 W Jefferson Blvd Ste 200 Fort Wayne IN 46802-3043 Ph: (210) 598-4277 |
| NPI Number | 1124515572 |
|---|---|
| Provider Enumeration Date | 04/20/2018 |
| Last Update Date | 07/07/2022 |
| Certification Date | 07/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124515572 | NPI | - | NPPES |
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