# SPINAL HEALTHCARE AND PHYSICAL MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437436045
- **Authorized official:** DR. STEPHEN H GLASSLEY (MANAGER)
- **Authorized official phone:** (260) 493-6565

## Contact information

- **Practice address:** 108 LANDIN RD, NEW HAVEN, IN 46774-1168
- **Practice address phone:** (260) 493-6565
- **Practice address fax:** (260) 493-6567
- **Mailing address:** 108 LANDIN RD, NEW HAVEN, IN 46774-1168
- **Mailing address phone:** (260) 493-6565
- **Mailing address fax:** (260) 493-6567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01018040A | IN | Yes |

## Other

- **Enumeration date:** 11/10/2011
- **Last updated:** 11/10/2011