WYOMING VALLEY PAIN CLINIC & REHABILITATION CENTER NPI 1780704619

NPI Information

  • NPI: 1780704619
  • Provider Name: WYOMING VALLEY PAIN CLINIC & REHABILITATION CENTER
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 39 S RIVER ST
    PLAINS, PA
    ZIP 18705
  • Phone: (570) 822-9514

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NPI Details

WYOMING VALLEY PAIN CLINIC & REHABILITATION CENTER is a specialist in Plains, PA. 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. WYOMING VALLEY PAIN CLINIC & REHABILITATION CENTER NPI is 1780704619. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

39 S RIVER ST
PLAINS, PA
ZIP 18705-233
Phone: (570) 822-9514
Fax: (570) 823-8039

The provider's authorized official is Emmanuel E. Jacob .
The authorized official title is Director and has the following contact phone number (570) 822-9514.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 8/22/2020.

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
1174400000XSpecialistMD026644EPENNSYLVANIAYes

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: 3/30/2025

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