MIDWEST PAIN AND REHABILITATION CLINIC LTD. NPI 1740413152

NPI Information

MIDWEST PAIN AND REHABILITATION CLINIC LTD. is a medical specialty clinic center in Sioux Falls, SD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MIDWEST PAIN AND REHABILITATION CLINIC LTD. NPI is 1740413152. The provider is registered as an organization entity type.

The provider's business location address is:

3934 S WESTERN AVE
SIOUX FALLS, SD
ZIP 57105-513
Phone: (605) 322-7524
Fax: (605) 322-7546

The provider's authorized official is Myung Joo Cho .
The authorized official title is President and has the following contact phone number (605) 322-7524.

The CLIA number assigned to this NPI record is 43D2048952 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2009 and was last updated on 9/1/2009.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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