ADVANCED SPINE AND PAIN CENTERS, INC. - NPI NUMBER 1619219433

Summary

Provider Name: ADVANCED SPINE AND PAIN CENTERS, INC.

NPI Number: 1619219433

Clasification: Clinic/Center (261QP3300X)

Specialization: Pain

Address:
9800 BAPTIST HEALTH DR
SUITE 660
LITTLE ROCK, AR
ZIP 72205

Phone Number: (501) 219-1114



Detailed Information

ADVANCED SPINE AND PAIN CENTERS, INC. is a pain clinic/center in Little Rock, AR. The assigned NPI number for this provider is 1619219433 and is registered as an organization entity type.

The provider's business address is:

9800 BAPTIST HEALTH DR
SUITE 660
LITTLE ROCK, AR
ZIP 72205-229
Phone: (501) 219-1114
Fax: (501) 219-1115

The provider's authorized official is Majid Saleem .
The authorized official title is Physician/owner and has the following contact phone number (501) 219-1114.

The enumeration date for this NPI number is 3/19/2013 and was last updated on 8/16/2013.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 261QP3300X Clinic/Center Pain Yes

NPI Record

No. Field Name Field Value
1 NPI 1619219433
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name ADVANCED SPINE AND PAIN CENTERS, INC.
5 Provider First Line Business Practice Location Address 9800 BAPTIST HEALTH DR
6 Provider Second Line Business Practice Location Address SUITE 660
7 Provider Business Practice Location Address City Name LITTLE ROCK
8 Provider Business Practice Location Address State Name AR
9 Provider Business Practice Location Address Postal Code 722056229
10 Provider Business Practice Location Address Country Code If outside U S US
11 Provider Business Practice Location Address Telephone Number 5012191114
12 Provider Business Practice Location Address Fax Number 5012191115
13 Provider Enumeration Date 3/19/2013
14 Last Update Date 8/16/2013
15 Authorized Official Last Name SALEEM
16 Authorized Official First Name MAJID
17 Authorized Official Title or Position PHYSICIAN/OWNER
18 Authorized Official Telephone Number 5012191114
19 Healthcare Provider Taxonomy Code 1 261QP3300X
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Is Organization Subpart N
22 Authorized Official Name Prefix Text DR.
23 Authorized Official Credential Text M.D.

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.