Provider Demographics
NPI:1457784241
Name:SPINAL SOLUTIONS, LLC
Entity Type:Organization
Organization Name:SPINAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:HYDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-763-1314
Mailing Address - Street 1:7516 BLUEBONNET BLVD
Mailing Address - Street 2:SUITE 434
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-1627
Mailing Address - Country:US
Mailing Address - Phone:225-763-1314
Mailing Address - Fax:888-788-6419
Practice Address - Street 1:8221 SUMMA AVE
Practice Address - Street 2:SUITE B
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3451
Practice Address - Country:US
Practice Address - Phone:225-763-1314
Practice Address - Fax:888-788-6419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-15
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier