Provider Demographics
NPI:1689735862
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:DR
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:LORIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-844-0501
Mailing Address - Street 1:240 MEDICAL PARK BLVD
Mailing Address - Street 2:SUITE 2700
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-7346
Mailing Address - Country:US
Mailing Address - Phone:423-844-0501
Mailing Address - Fax:
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:985-892-3225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN035234332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5606520001Medicare NSC