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NPI Code Detail

MEDICARE: CENTER FOR NEUROLOGICAL TREATMENT & RESEARCH, PLLC

MEDICARE: CENTER FOR NEUROLOGICAL TREATMENT & RESEARCH, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084S0012XSleep Medicine (Psychiatry & Neurology) Physician
22084N0400XNeurology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CG4522OTHERTNRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972707982
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER FOR NEUROLOGICAL TREATMENT & RESEARCH, PLLC
Provider Business Mailing Address
First Line : 515 STONECREST PKWY
Second Line : SUITE 200
City : SMYRNA
State : TN
Zip : 37167-6826
Country : US
Telephone Number : 615-355-5510
Fax Number : 615-355-8699
Provider Business Practice Location Address
First Line : 331 LANDRUM PL
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37043-6329
Country : US
Telephone Number : 615-355-5510
Fax Number : 615-355-8699
Authorized Official
Title or Position : CHEIF MANAGER
Name : RICHARD RUBINOWICZ
Credential : M.D.
Telephone Number : 615-333-5510
Provider Enumeration Date : 06/13/2007
Last Update Date : 06/12/2008

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