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NEUROVERSION NPI 1487102208


NPI Information

NPI: 1487102208
Provider Name: NEUROVERSION
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 02D2119644

Address:
2925 DEBARR RD
SUITE 240
ANCHORAGE, AK
ZIP 99508
Phone: (907) 339-4650
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NEUROVERSION is an interventional pain medicine pain medicine in Anchorage, AK. 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. NEUROVERSION NPI is 1487102208. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2925 DEBARR RD
SUITE 240
ANCHORAGE, AK
ZIP 99508-959
Phone: (907) 339-4650

The provider's authorized official is Luke Liu .
The authorized official title is Owner and has the following contact phone number (818) 523-5372.

The CLIA number assigned to this NPI record is 02D2119644 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2016 and was last updated on 12/19/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain MedicineMEDS6555ALASKAYes

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
11654351MEDICAIDALASKA

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: 11/14/2023

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