WHITE MOUNTAIN PAIN CLINIC PLLC NPI 1972046803

NPI Information

NPI: 1972046803
Provider Name: WHITE MOUNTAIN PAIN CLINIC, PLLC

Other Name: THE ALLEN FAMILY IRREVOCABLE TRUST

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
5721 5TH CT S
BIRMINGHAM, AL
ZIP 35212
Phone: (205) 567-0832
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WHITE MOUNTAIN PAIN CLINIC, PLLC is a pain clinic center in Birmingham, AL. WHITE MOUNTAIN PAIN CLINIC, PLLC NPI is 1972046803. The provider is registered as an organization entity type.
The provider Other Name Is The Allen Family Irrevocable Trust.

The provider's business location address is:

5721 5TH CT S
BIRMINGHAM, AL
ZIP 35212-211
Phone: (205) 567-0832

The provider's authorized official is John C Allen .
The authorized official title is Grantor and has the following contact phone number (205) 567-0832.

The enumeration date for this NPI number is 11/25/2016 and was last updated on 11/26/2016.

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	261QP3300X	Clinic/Center	Pain	1-083260	ALABAMA	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: 11/14/2023

NPI Synchronization or Removal

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