Provider Demographics
NPI:1972936102
Name:9397 LLC
Entity Type:Organization
Organization Name:9397 LLC
Other - Org Name:MK SPINE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF REVENUE CYCLE SOLUTIONS
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-615-5168
Mailing Address - Street 1:PO BOX 3837
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60132-3837
Mailing Address - Country:US
Mailing Address - Phone:214-615-5168
Mailing Address - Fax:888-526-9542
Practice Address - Street 1:7257 HAWKINS VIEW DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-3921
Practice Address - Country:US
Practice Address - Phone:214-615-5168
Practice Address - Fax:888-526-9542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty