Dubuque Pain Clinic

LBN: Dubuque Pain Clinic
Dubuque Pain Clinic is an health care organization with primary practice located at 250 Mercy Dr , Dubuque IA 52001-7320. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty. Dubuque Pain Clinic can be contacted via phone (563) 589-8665, or through Fomitchev, Ivan via phone (563) 564-1283.

Contact Information

Primary practice address
250 Mercy Dr Dubuque IA 52001-7320
Phone: (563) 589-8665
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fomitchev, Ivan Doctor of Medicine (MD)
Phone: (563) 564-1283

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 34875 Iowa
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 34875 Iowa

Profile Details

NPI number 1467863472
LBN Legal business name Dubuque Pain Clinic
DBA Doing business as
Authorized official Fomitchev, Ivan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2014
Last updated May 13th, 2014 - about 12 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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