Provider Demographics
NPI:1568617751
Name:SPINE SOLUTIONS INC.
Entity Type:Organization
Organization Name:SPINE SOLUTIONS INC.
Other - Org Name:SOUTHEASTERN MEDICAL SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:PITTS
Authorized Official - Last Name:CHRISTAIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:205-381-3343
Mailing Address - Street 1:2038 EASTERN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-5362
Mailing Address - Country:US
Mailing Address - Phone:205-249-1846
Mailing Address - Fax:205-428-8383
Practice Address - Street 1:2038 EASTERN VALLEY RD
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-5362
Practice Address - Country:US
Practice Address - Phone:205-249-1846
Practice Address - Fax:205-428-8383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL09011800332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies