Provider Demographics
NPI:1578334017
Name:SPINALLY BETTER, LLC
Entity Type:Organization
Organization Name:SPINALLY BETTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CAMERON
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDINEER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:757-774-6252
Mailing Address - Street 1:269 HARBOR MILL DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:IL
Mailing Address - Zip Code:62294-3241
Mailing Address - Country:US
Mailing Address - Phone:757-774-6252
Mailing Address - Fax:
Practice Address - Street 1:4949 AUTUMN OAKS DR STE A
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:IL
Practice Address - Zip Code:62062-8557
Practice Address - Country:US
Practice Address - Phone:757-774-6252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care