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Contact Information

TRI-STATE PAIN MANAGEMENT SERVICE INC
8250 KENWOOD CROSSING WAY
STE 101
CINCINNATI, OH45236
 Phone: 859-341-7246
 Fax: 859-341-7867
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TRI STATE PAIN MANAGEMENT SERVICE INC · (Female)

NPI Number 1114258142
Status Active
Credentials
Entity Individual
Enumeration date 01/14/2010
Last updated 01/14/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN Medicaid 200377720
  • KY Medicaid 65944233
  • OH Medicaid 2044773
  • Other 000000388145 ANTHEM
  • Other 728014 BUCKEYE
  • Other 28494199500 BUREAU OF WORKERS COMP
  • Other 5124498 CIGNA
  • Other 284941995 HEALTHLAB GROUP#
  • Other 284941995 HEALTHNET
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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