Revival Pain Management Inc

LBN: Revival Pain Management Inc
Revival Pain Management Inc is an health care organization with primary practice located at 110 Dutchman Ct , Elkin NC 28621-2237. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty. Revival Pain Management Inc can be contacted via phone (336) 835-5330, or through Novembre, Emidio Michael via phone (336) 835-5330.

Contact Information

Primary practice address
110 Dutchman Ct Elkin NC 28621-2237
Phone: (336) 835-5330
Fax: (336) 835-5337
Website:
Map and Directions
Authorized official contact:
Name: Novembre, Emidio Michael Doctor of Osteopathy (DO)
Phone: (336) 835-5330

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1801813712
LBN Legal business name Revival Pain Management Inc
DBA Doing business as
Authorized official Novembre, Emidio Michael Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated Jul 10th, 2023 - about 3 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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