INTERVENTIONAL PAIN CENTER OF CHESTERFIELD LLC NPI 1922144484

NPI Profile

NPI: 1922144484
Provider Name: INTERVENTIONAL PAIN CENTER OF CHESTERFIELD LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
17300 N OUTER 40
100
CHESTERFIELD, MO
ZIP 63005
Get Directions

Phone: (636) 519-8889

INTERVENTIONAL PAIN CENTER OF CHESTERFIELD LLC is an ambulatory surgical cliniccenter in Chesterfield, MO. INTERVENTIONAL PAIN CENTER OF CHESTERFIELD LLC NPI is 1922144484. The provider is registered as an organization entity type.

The provider's business location address is:

17300 N OUTER 40
100
CHESTERFIELD, MO
ZIP 63005-364
Phone: (636) 519-8889
Fax: (636) 536-0120

The provider's authorized official is Stephen G Smith .
The authorized official title is Medical Director and has the following contact phone number (636) 519-8889.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 1/30/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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	261QA1903X	Clinic/Center	Ambulatory Surgical	R3N29	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	BS8421276	OTHER	MISSOURI	DEA#
2	D87033	MEDICARE UPIN	MISSOURI
3	000040094	MEDICARE PIN	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 7/14/2020

NPI Synchronization or Removal

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