Provider Demographics
NPI:1659409118
Name:THE CENTER FOR NEUROLOGICAL CARE
Entity Type:Organization
Organization Name:THE CENTER FOR NEUROLOGICAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D./OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-295-2277
Mailing Address - Street 1:1351 SUMMITT
Mailing Address - Street 2:STE 320
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35501-0114
Mailing Address - Country:US
Mailing Address - Phone:205-295-2277
Mailing Address - Fax:205-295-2204
Practice Address - Street 1:1351 SUMMITT
Practice Address - Street 2:SUITE 320
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35501-0114
Practice Address - Country:US
Practice Address - Phone:205-295-2277
Practice Address - Fax:205-295-2204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00021488174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALDG4877OtherRAILROAD MEDICARE
AL529911620Medicaid
ALL208Medicare PIN
AL529911620Medicaid