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COMPREHENSIVE PAIN AND HEADACHE TREATMENT CENTERS LLC NPI 1467672592


NPI Information

NPI: 1467672592
Provider Name: COMPREHENSIVE PAIN AND HEADACHE TREATMENT CENTERS, LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 07D1102619

Address:
130 DIVISION STREET
DERBY, CT
ZIP 06418
Phone: (203) 732-1570
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COMPREHENSIVE PAIN AND HEADACHE TREATMENT CENTERS, LLC is an interventional pain medicine pain medicine in Derby, CT. 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. COMPREHENSIVE PAIN AND HEADACHE TREATMENT CENTERS, LLC NPI is 1467672592. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

130 DIVISION STREET
DERBY, CT
ZIP 06418
Phone: (203) 732-1570
Fax: (203) 732-1576

The provider's authorized official is Deborah Lechner .
The authorized official title is Billing Lead and has the following contact phone number (203) 732-1580.

The CLIA number assigned to this NPI record is 07D1102619 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2007 and was last updated on 5/3/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNo
2225100000XPhysical TherapistNo
3363L00000XNurse PractitionerNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
5367500000XNurse Anesthetist, Certified RegisteredNo
6208VP0014XPain MedicineInterventional Pain MedicineYes

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
11300060001MEDICARE NSCCONNECTICUT
2004230108MEDICAIDCONNECTICUT
3004176667MEDICAIDCONNECTICUT
4004224367MEDICAIDCONNECTICUT
5004242806MEDICAIDCONNECTICUT

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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