Provider Demographics
NPI:1225689029
Name:NGEN HEALTH SOLUTIONS LLC
Entity Type:Organization
Organization Name:NGEN HEALTH SOLUTIONS LLC
Other - Org Name:ADVANCED SPINEWORKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:HUNTE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:773-636-3824
Mailing Address - Street 1:16517 VANDERBILT DR STE 3
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34134-7550
Mailing Address - Country:US
Mailing Address - Phone:773-636-3824
Mailing Address - Fax:
Practice Address - Street 1:16517 VANDERBILT DR STE 3
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34134-7550
Practice Address - Country:US
Practice Address - Phone:773-636-3824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-23
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty