Provider Demographics
NPI:1457781775
Name:SPINAL ALTERNATIVES LLC
Entity Type:Organization
Organization Name:SPINAL ALTERNATIVES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:RODIO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:201-528-7081
Mailing Address - Street 1:71 UNION AVE
Mailing Address - Street 2:SUITE110B
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-1274
Mailing Address - Country:US
Mailing Address - Phone:201-528-7081
Mailing Address - Fax:201-528-7279
Practice Address - Street 1:71 UNION AVE
Practice Address - Street 2:SUITE 110B
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-1274
Practice Address - Country:US
Practice Address - Phone:201-528-7081
Practice Address - Fax:201-528-7279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-22
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies