PERSONALIZED SPINE AND PAIN CARE NPI 1457735029

NPI Information

NPI: 1457735029
Provider Name: PERSONALIZED SPINE AND PAIN CARE
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
1160 VARNUM ST NE
SUITE 212
WASHINGTON, DC
ZIP 20017
Phone: (202) 050-7844
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PERSONALIZED SPINE AND PAIN CARE is a pain clinic center in Washington, DC. PERSONALIZED SPINE AND PAIN CARE NPI is 1457735029. The provider is registered as an organization entity type.

The provider's business location address is:

1160 VARNUM ST NE
SUITE 212
WASHINGTON, DC
ZIP 20017-107
Phone: (202) 050-7844
Fax: (202) 507-8503

The provider's authorized official is Ayasha Williams-sharron .
The authorized official title is President and has the following contact phone number (202) 507-8444.

The enumeration date for this NPI number is 7/14/2015 and was last updated on 7/14/2015.

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	261QP3300X	Clinic/Center	Pain	MD038938	DISTRICT OF COLUMBIA	Yes

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

NPI Synchronization or Removal

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