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Contact Information

INTERVENTIONAL PAIN SPECIALISTS OF NWA, PLLC
509 E MILLSAP RD STE 109
FAYETTEVILLE, AR72703-4862
 Phone: 479-595-8192
 Fax: 479-442-1748
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for INTERVENTIONAL PAIN SPECIALISTS OF NWA PLLC · (Female)

NPI # 1295032407
Status Active
Credentials
Entity Individual
Enumeration date 02/24/2011
Last updated 02/24/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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