Organization
CENTER FOR SPINE AND SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS S. HASTETTER MD (OWNER)
(812) 476-7111
Entity
Organization
Contact information
Practice address
4199 GATEWAY BLVD, SUITE 2000, NEWBURGH, IN 47630-8940
(812) 476-7111
(812) 476-7117
Mailing address
7145 E VIRGINIA ST, SUITE 5000, EVANSVILLE, IN 47715-9144
(812) 476-7111
(812) 476-7117
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/07/2009
Last updated
07/25/2011
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