Organization · Type 2 NPI
Institute for Low Back Care LLC
Ambulatory Surgical Clinic/Center · Fargo, ND
NPI number
1124125109
Active
Practice location
300 Main Ave, Suite 212
Fargo, ND 58103-1930
Fax (701) 297-6870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | 4806 (ND) |
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 4806 (ND) |
| Pain Clinic/Center | 261QP3300X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1124125109
Institute for Low Back Care LLC's National Provider Identifier is 1124125109, issued on Sep 20, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Fargo, ND. The record was last updated on May 7, 2013.