ADVANCED & INTEGRATED PAIN MANAGEMENT LLC NPI 1134440092

NPI Information

  • NPI: 1134440092
  • Provider Name: ADVANCED & INTEGRATED PAIN MANAGEMENT, LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: LIBERTY CHIROPRACTIC & PHYSICAL THERAPY CENTER AT RANDALLSTOWN
  • Address: 8507 LIBERTY ROAD
    SUITE L1
    RANDALLSTOWN, MD
    ZIP 21133
  • Phone: (443) 272-6763

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NPI Details

ADVANCED & INTEGRATED PAIN MANAGEMENT, LLC is a multi-specialty clinic center in Randallstown, MD. ADVANCED & INTEGRATED PAIN MANAGEMENT, LLC NPI is 1134440092. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Chiropractic & Physical Therapy Center At Randallstown.

The provider's business location address is:

8507 LIBERTY ROAD
SUITE L1
RANDALLSTOWN, MD
ZIP 21133
Phone: (443) 272-6763
Fax: (443) 272-7834

The provider's authorized official is Sue Ellen Podmijersky .
The authorized official title is Managing Member and has the following contact phone number (443) 272-6763.

The enumeration date for this NPI number is 6/15/2010 and was last updated on 11/9/2016.

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
1261QM1300XClinic/CenterMulti-SpecialtyS01679MARYLANDYes

What is NPI?

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This page was last updated on: 11/21/2025

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