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Contact Information

COMPREHENSIVE PAIN AND HEADACHE TREATMENT CENTERS, LLC
130 DIVISION STREET
DERBY, CT06418
 Phone: 203-732-1570
 Fax: 203-732-1576
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for COMPREHENSIVE PAIN AND HEADACHE TREATMENT CENTERS LLC · (Female)

NPI Number 1467672592
Status Active
Credentials
Entity Individual
Enumeration date 04/30/2007
Last updated 05/03/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT Medicaid 004176667
  • CT Medicaid 004224367
  • CT Medicaid 004230108
  • CT Medicaid 004242806
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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