PROACTIVE PAIN TREATMENT LLC NPI 1730742859

NPI Information

NPI: 1730742859
Provider Name: PROACTIVE PAIN TREATMENT LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1001 E WARNER RD STE 103
TEMPE, AZ
ZIP 85284
Phone: (480) 566-9755
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PROACTIVE PAIN TREATMENT LLC is an ambulatory surgical clinic center in Tempe, AZ. PROACTIVE PAIN TREATMENT LLC NPI is 1730742859. The provider is registered as an organization entity type.

The provider's business location address is:

1001 E WARNER RD STE 103
TEMPE, AZ
ZIP 85284-224
Phone: (480) 566-9755
Fax: (480) 566-9979

The provider's authorized official is Jerry Buckner .
The authorized official title is Sole Mbr and has the following contact phone number (480) 930-4018.

The enumeration date for this NPI number is 4/15/2019 and was last updated on 4/15/2019.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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

NPI Synchronization or Removal

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