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NEUROLOGY & PAIN MANAGEMENT PLLC NPI 1609907138


NPI Information

NPI: 1609907138
Provider Name: NEUROLOGY & PAIN MANAGEMENT, PLLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 34D2008878

Address:
350 PINE STATE ST
LILLINGTON, NC
ZIP 27546
Phone: (910) 893-9700
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NEUROLOGY & PAIN MANAGEMENT, PLLC is a specialist in Lillington, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NEUROLOGY & PAIN MANAGEMENT, PLLC NPI is 1609907138. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

350 PINE STATE ST
LILLINGTON, NC
ZIP 27546-428
Phone: (910) 893-9700
Fax: (910) 893-9747

The provider's authorized official is Nailesh D Dave .
The authorized official title is Doctor and has the following contact phone number (910) 893-9700.

The CLIA number assigned to this NPI record is 34D2008878 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 7/27/2007.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist9900027NORTH CAROLINAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G90065MEDICARE UPINNORTH CAROLINA
22342294MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINAMEDICARE NUMBER
3891209MMEDICAIDNORTH CAROLINA

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: 5/5/2024

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