Provider Demographics
NPI:1033459854
Name:SPRING VIEW PHYSICIAN PRACTICES, LLC
Entity Type:Organization
Organization Name:SPRING VIEW PHYSICIAN PRACTICES, LLC
Other - Org Name:SPRING VIEW UROLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-920-7000
Mailing Address - Street 1:420 LORETTO RD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:LEBANON
Mailing Address - State:KY
Mailing Address - Zip Code:40033-1628
Mailing Address - Country:US
Mailing Address - Phone:270-692-5139
Mailing Address - Fax:270-699-4628
Practice Address - Street 1:420 LORETTO RD
Practice Address - Street 2:SUITE 600
Practice Address - City:LEBANON
Practice Address - State:KY
Practice Address - Zip Code:40033-1628
Practice Address - Country:US
Practice Address - Phone:270-692-5139
Practice Address - Fax:270-699-4628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-15
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty