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Contact Information

BACK PAIN CENTER PC
100 1ST AVE
PHOENIXVILLE, PA19460-3700
 Phone: 610-495-8416
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for BACK PAIN CENTER PC · (Female)

NPI Number 1124286158
Status Active
Credentials
Entity Individual
Enumeration date 05/27/2008
Last updated 12/04/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # MD051973-L
  • PA Other 3770872 AETNA
  • PA Other 0730718000 AMERIHEALTH
  • PA Other 510594 BLUE CROSS BLUE SHIELD
  • PA Other 0730718000 KEYSTONE EAST
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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