Organization
SOUTHEAST SPINE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE J IVANICKY (OWNER/PRESIDENT)
(225) 753-6333
Entity
Organization
Contact information
Practice address
17431 JEFFERSON HWY, SUITE A, BATON ROUGE, LA 70817-7484
(225) 753-6333
(225) 753-6336
Mailing address
17431 JEFFERSON HWY, SUITE A, BATON ROUGE, LA 70817-7484
(225) 753-6333
(225) 753-6336
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us