Northern Lights Pain Management Llc
LBN: Northern Lights Pain Management Llc
Northern Lights Pain Management Llc is an health care organization with primary practice located at 1320 22Nd Ave , Fairbanks AK 99701-6516. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty.
Northern Lights Pain Management Llc can be contacted via phone (907) 452-4777, or through Valentz, Robert via phone (907) 770-9600.
Contact Information
Primary practice address
1320 22Nd Ave
Fairbanks AK 99701-6516
Phone: (907) 452-4777
Fax: (907) 452-4787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 297874 | Alaska |
Profile Details
| NPI number | 1619203585 |
|---|---|
| LBN Legal business name | Northern Lights Pain Management Llc |
| DBA Doing business as | |
| Authorized official | Valentz, Robert Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 27th, 2009 |
| Last updated | Oct 27th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619203585 | NPPES |
| Alaska | Other | 297874 | AK BUSINESS LICENSE |
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