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Contact Information

INTEGRATED PAIN AND HEALTH CENTER, SC
5261 N PORT WASHINGTON RD
SUITE 101
GLENDALE, WI53217-4903
 Phone: 414-332-6001
 Fax: 414-332-3712
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for INTEGRATED PAIN AND HEALTH CENTER SC · (Female)

NPI # 1235417486
Status Active
Credentials
Entity Individual
Enumeration date 07/21/2011
Last updated 07/21/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 48739
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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