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Contact Information

TREASURE VALLEY PAIN CENTER, LLC
2102 W EVEREST LN STE 100
MERIDIAN, ID83646-7033
 Phone: 208-505-4744
 Fax: 844-402-0970
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

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

NPI Number 1477321537
Status Active
Credentials
Entity Individual
Enumeration date 12/18/2023
Last updated 02/24/2026 - About 3 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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