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Contact Information

DOCTORS PAIN CENTER, LLC
1011 BOARDMAN CANFIELD RD
BOARDMAN, OH44512
 Phone: 330-629-2888
 Fax: 330-259-9625
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Addiction (Substance Use Disorder)

101YA0400X
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Professional

101YP2500X
 

Psychiatric/Mental Health

364SP0808X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for DOCTORS PAIN CENTER LLC · (Female)

NPI # 1386698215
Status Active
Credentials
Entity Individual
Enumeration date 05/22/2006
Last updated 08/21/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH Medicaid 2469154
  • PA Medicaid 1018803700001
  • PA Medicaid 2462154
  • OH Other 340892 ANTHEM
  • PA Other 111998 HIGHMARK
  • PA Other 1954815 HIGHMARK BC/BS
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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