Ilbnc, P.a.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

365578 Issued in MN

Legal business name

ILBNC, P.A.

Doing business as

Institute for Low Back & Neck Care

Practice address

15700 37TH Avenue North
Suite 210
Plymouth, MN 55446-3662

Phone

(952) 814-6600

Fax

(952) 814-6700

NPI assigned

Jan 29, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patrick Wilfred Justin, R.N.

Title

Director of Surgery Center

Phone

(952) 814-6600

Specialties & licenses 1

Addresses

Other names 1

• Institute for Low Back & Neck Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1235529272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 METRO DRIVE",
            "address_2": "SUITE 330",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254506",
            "telephone_number": "952-814-6600",
            "fax_number": "952-814-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 37TH AVENUE NORTH",
            "address_2": "SUITE 210",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463662",
            "telephone_number": "952-814-6600",
            "fax_number": "952-814-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILBNC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "JUSTIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "WILFRED",
        "authorized_official_title_or_position": "DIRECTOR OF SURGERY CENTER",
        "authorized_official_telephone_number": "952-814-6600",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MN",
            "license": "365578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Institute for Low Back & Neck Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katelyn Nicole Hyduke, LPCC, LADC
• Ibackcheck Chiropractic (iBackCheck Sport Therapy)
• Judith Ibarra Ayala
• Lea Ichimura
• Craig Ihry
• Ilbnc, P.a. (Institute for Low Back & Neck Care)
• In Their World LLC
• Jesse Inderlee, LADC
• Infinite Health Collaborative, PA
• Infinite Health Collaborative, PA

• Orthopaedic Surgery of the Spine Physician in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Orthopaedic Surgery of the Spine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.