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Contact Information

COMPREHENSIVE PAIN MANAGEMENT OF THE FOX VALLEY, SC
820 E GRANT ST
SUITE 335
APPLETON, WI54911-3490
 Phone: 920-733-7230
 Fax:
 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
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for COMPREHENSIVE PAIN MANAGEMENT OF THE FOX VALLEY SC · (Female)

NPI Number 1497810857
Status Active
Credentials
Entity Individual
Enumeration date 12/26/2006
Last updated 01/24/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 36140-20
  • WI Medicaid 34086400
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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