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J&K PAIN MANAGEMENT COMPANY LLC NPI 1902976699


NPI Information

NPI: 1902976699
Provider Name: J&K PAIN MANAGEMENT COMPANY LLC

Doing Business As: GREAT LAKES PAIN MANAGEMENT

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2760 SOM CENTER RD
WILLOUGHBY HILLS, OH
ZIP 44094
Phone: (440) 306-2358
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J&K PAIN MANAGEMENT COMPANY LLC is a specialist in Willoughby Hills, OH. 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. J&K PAIN MANAGEMENT COMPANY LLC NPI is 1902976699. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Great Lakes Pain Management.

The provider's business location address is:

2760 SOM CENTER RD
WILLOUGHBY HILLS, OH
ZIP 44094
Phone: (440) 306-2358
Fax: (440) 306-2359

The provider's authorized official is Emad A Mikhail .
The authorized official title is Owner and has the following contact phone number (440) 306-2358.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 1/16/2013.


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
1174400000XSpecialist35075570-MOHIOYes

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
17813229OTHEROHIOAETNA
2C75570OTHEROHIOSUMMA CARE
3352308MEDICAIDOHIO
42124534MEDICAIDOHIO
56039190001MEDICARE NSCOHIO
6=========00OTHEROHIOBWC
78076384OTHEROHIOCIGNA
8P00304928OTHEROHIORAILROAD MEDICARE
9000000389088OTHEROHIOANTHEM
10========= 027OTHEROHIOCARESOURCE
11H02372MEDICARE UPINOHIO
12736496MEDICAIDOHIO
132083810OTHEROHIOUNITED HEALTH CARE
149360331MEDICARE PINOHIO

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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