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INTERVENTIONAL PAIN SERVICES OF WESTERN NORTH CAROLINA PLLC NPI 1629261565


NPI Information

NPI: 1629261565
Provider Name: INTERVENTIONAL PAIN SERVICES OF WESTERN NORTH CAROLINA, PLLC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
24 FALCON CREST LN
CLYDE, NC
ZIP 28721
Phone: (828) 627-9998
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INTERVENTIONAL PAIN SERVICES OF WESTERN NORTH CAROLINA, PLLC is a pain clinic center in Clyde, NC. INTERVENTIONAL PAIN SERVICES OF WESTERN NORTH CAROLINA, PLLC NPI is 1629261565. The provider is registered as an organization entity type.

The provider's business location address is:

24 FALCON CREST LN
CLYDE, NC
ZIP 28721-620
Phone: (828) 627-9998
Fax: (828) 627-9946

The provider's authorized official is Allan Norman Zacher .
The authorized official title is Medical Director and has the following contact phone number (828) 627-9998.

The enumeration date for this NPI number is 8/23/2007 and was last updated on 10/5/2007.


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
1261QP3300XClinic/CenterPain30531NORTH 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11790761096OTHERNORTH CAROLINAINDIVIDUAL NPI
2C35560MEDICARE UPIN
3891349FMEDICAIDNORTH CAROLINA
42009278AMEDICARE PINNORTH 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: 11/14/2023

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