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INTERVENTIONAL PAIN & SPINE SPECIALISTS LLC NPI 1649942848


NPI Information

NPI: 1649942848
Provider Name: INTERVENTIONAL PAIN & SPINE SPECIALISTS LLC

Doing Business As: VITALITY PAIN CARE

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
1048 ASHLEY ST STE 103A
BOWLING GREEN, KY
ZIP 42103
Phone: (502) 352-2530
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INTERVENTIONAL PAIN & SPINE SPECIALISTS LLC is an interventional pain medicine pain medicine in Bowling Green, KY. 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. INTERVENTIONAL PAIN & SPINE SPECIALISTS LLC NPI is 1649942848. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Vitality Pain Care.

The provider's business location address is:

1048 ASHLEY ST STE 103A
BOWLING GREEN, KY
ZIP 42103-449
Phone: (502) 352-2530

The provider's authorized official is Tamia Fisher .
The authorized official title is Credentialing and has the following contact phone number (812) 962-7894.

The enumeration date for this NPI number is 10/5/2021 and was last updated on 11/2/2022.


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
1208100000XPhysical Medicine & RehabilitationNo
2207L00000XAnesthesiologyNo
3207LP2900XAnesthesiologyPain MedicineNo
4208VP0014XPain 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
118D2154148OTHERKENTUCKYCLIA

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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