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APPLACHAIN PAIN THERAPY INSTITUTE NPI 1144340787


NPI Information

NPI: 1144340787
Provider Name: APPLACHAIN PAIN THERAPY INSTITUTE
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
4407 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304
Phone: (304) 925-2922
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APPLACHAIN PAIN THERAPY INSTITUTE is an interventional pain medicine pain medicine in Charleston, WV. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. APPLACHAIN PAIN THERAPY INSTITUTE NPI is 1144340787. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4407 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304-505
Phone: (304) 925-2922
Fax: (304) 926-8009

The provider's authorized official is Josiah Kelley Lilly .
The authorized official title is Owner and has the following contact phone number (304) 925-2922.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 10/24/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain Medicine11322WEST VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A71978MEDICARE UPINWEST VIRGINIA
20201994000MEDICAIDWEST VIRGINIA
39339481MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIA

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: 4/28/2024

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