Selkirk Interventional Pain

LBN: Idaho Pain Clinic Pllc
Selkirk Interventional Pain is an health care organization with primary practice located at 1327 Superior St Ste 101 , Sandpoint ID 83864-2742. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Idaho Pain Clinic Pllc can be contacted via phone (208) 965-8118, or through Ispirescu, Jeffrey S via phone (208) 965-8118.

Contact Information

Primary practice address
1327 Superior St Ste 101 Sandpoint ID 83864-2742
Phone: (208) 965-8118
Fax: (208) 965-8128
Website:
Map and Directions
Authorized official contact:
Name: Ispirescu, Jeffrey S Doctor of Medicine (MD)
Phone: (208) 965-8118

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X

Profile Details

NPI number 1417267329
LBN Legal business name Idaho Pain Clinic Pllc
DBA Doing business as Selkirk Interventional Pain
Authorized official Ispirescu, Jeffrey S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2010
Last updated Jan 22nd, 2015 - about 11 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 1417267329 NPPES
Idaho MEDICAID 3106958

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