Institute for Low Back Care LLC
NPI #1124125109 in Fargo, North Dakota
Provider Information
- NPI Number
- 1124125109
- Entity Type
- Organization
- Organization Name
- Institute for Low Back Care LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Sep 20, 2006
- Last Updated
- May 7, 2013
Practice Location
- Address
- 300 MAIN AVE
- Address 2
- SUITE 212
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58103-1930
- Phone
- (701) 297-0817
Authorized Official
- Name
- DR. PANJINI M. SIVANNA, MD
- Title
- PRESIDENT
- Phone
- (701) 297-0817
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
| Clinic/Center - Pain — Pain |
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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