Provider Demographics
NPI:1508831462
Name:NEURO SPINE SOLUTIONS, PC
Entity Type:Organization
Organization Name:NEURO SPINE SOLUTIONS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:LORIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-844-0501
Mailing Address - Street 1:PO BOX 95
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37621-0095
Mailing Address - Country:US
Mailing Address - Phone:423-844-0501
Mailing Address - Fax:423-844-0006
Practice Address - Street 1:240 MEDICAL PARK BLVD
Practice Address - Street 2:SUITE 2700
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-7346
Practice Address - Country:US
Practice Address - Phone:423-844-0501
Practice Address - Fax:423-844-0006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-22
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5606520001Medicare NSC
TNDD5702Medicare PIN
TN3730531Medicare PIN