Neuropathy And Pain Centers Of America Holding Company, LLC
Pain Medicine, Interventional Pain Medicine in Jackson, MI. Organization (NPI-2).
NPI number1548522774
StatusActive
Last updated in NPPESJul 28, 2012
Details
- NPI
- 1548522774
- Entity type
- Organization (NPI-2)
- Legal business name
- Neuropathy And Pain Centers Of America Holding Company, LLC
- Organization subpart
- No
- Enumeration date
- Jun 13, 2012
- Last updated
- Jul 28, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | 4301100643 | MI | Yes |
Practice location
300 W Washington AveSte. 250
Jackson, MI 49201-2180
Phone 586-531-8882 · Fax 517-676-9788
Mailing address
4350 Dell RdSte. J
Lansing, MI 48911-8137
Phone 586-531-8882
Authorized official
Susan Marie Moore
President
5865318882
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