Advanced Interventional Pain Management, Pa

LBN: Advanced Interventional Pain Management, Pa
Advanced Interventional Pain Management, Pa is an health care organization with primary practice located at 160 Kimel Forest Dr Suite100, Winston Salem NC 27103-6074. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Advanced Interventional Pain Management, Pa can be contacted via phone (336) 714-6400, or through Shultz, Johnette Carol via phone (336) 714-6406.

Contact Information

Primary practice address
160 Kimel Forest Dr Suite100 Winston Salem NC 27103-6074
Fax: (336) 714-6402
Website:
Authorized official contact:
Name: Shultz, Johnette Carol

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X

Profile Details

NPI number 1982669339
LBN Legal business name Advanced Interventional Pain Management, Pa
DBA Doing business as
Authorized official Shultz, Johnette Carol
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2006
Last updated Jan 6th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982669339 NPPES
North Carolina Other I915 PARTNERS NATIONAL HEALTH
North Carolina Other 7679698 PARTNERS NATIONAL HEALTH
North Carolina MEDICAID 89016HC PARTNERS NATIONAL HEALTH
North Carolina Other 016HC PARTNERS NATIONAL HEALTH
North Carolina Other 607132000 PARTNERS NATIONAL HEALTH

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