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Contact Information

ADVANCED PAIN TREATMENT CENTERS, PC
60 LYNOAK CV
JACKSON, TN38305-2800
 Phone: 731-736-1882
 Fax: 731-736-1883
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for ADVANCED PAIN TREATMENT CENTERS PC · (Female)

NPI # 1932334828
Status Active
Credentials
Entity Individual
Enumeration date 05/20/2009
Last updated 08/10/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # 43477
  • NV Medicaid 100505801
  • TN Medicaid PENDING
  • Other 100852 MEDICARE ID TYPE UNSPECIFIED
  • TN Other 4225396 MEDICAID
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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