Organization
BLOOMINGTON ORTHOPEDIC SPINE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P HAMMERSTEIN MD (PRESIDENT)
(812) 333-1933
Entity
Organization
Contact information
Practice address
2201 W SUDBURY DR, STE C, BLOOMINGTON, IN 47403-3812
(812) 333-1933
(812) 333-3991
Mailing address
2201 W SUDBURY DR, STE C, BLOOMINGTON, IN 47403-3812
(812) 333-1933
(812) 333-3991
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01065333A
IN
207XS0117X
Orthopaedic Surgery of the Spine Physician
01065333A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200949160A
—
IN
Enumeration date
06/19/2009
Last updated
06/08/2010
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