Cleveland Pain Management, Pc

LBN: Cleveland Pain Management, Pc
Cleveland Pain Management, Pc is an health care organization with primary practice located at 340 Sunset Dr Nw , Cleveland TN 37312-5349. The organization recently has 5 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Cleveland Pain Management, Pc can be contacted via phone (423) 614-5654, or through Deroos, Timothy via phone (423) 614-5654.

Contact Information

Primary practice address
340 Sunset Dr Nw Cleveland TN 37312-5349
Phone: (423) 614-5654
Fax: (423) 614-5645
Website:
Map and Directions
Authorized official contact:
Name: Deroos, Timothy Doctor of Chiropractic (DC)
Phone: (423) 614-5654

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1294 Tennessee
Allopathic & Osteopathic Physicians / General Practice 208D00000X 9519 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1753 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1830 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 15022 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 13925 Tennessee

Profile Details

NPI number 1649416926
LBN Legal business name Cleveland Pain Management, Pc
DBA Doing business as
Authorized official Deroos, Timothy Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2008
Last updated Aug 3rd, 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 1649416926 NPPES
Tennessee Other 4026063 BCBSTN
Tennessee MEDICAID 1513537 BCBSTN
Tennessee Other 3730366 BCBSTN

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