National Provider Identifier Database

DYNAMIC HEALTH AND PAIN MANAGEMENT PLLC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

DYNAMIC HEALTH AND PAIN MANAGEMENT, PLLC
4707 SOUTH BLVD
CHARLOTTE, NC28217-2117
Phone: 704-525-6288
Fax: 704-525-6384
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Nurse Practitioner 363L00000X
Pain Medicine 208VP0000X
Rehabilitation 111NR0400X

* Indicates primary specialty

NPI Profile & details for DYNAMIC HEALTH AND PAIN MANAGEMENT, PLLC

NPI Number 1538452982
Legal business name
LBN
DYNAMIC HEALTH AND PAIN MANAGEMENT, PLLC
Authorized official HEIDI COX - (SECRETARY/TREASURER)
Entity Organization
Organization subpart No
Enumeration date 05/18/2011
Last updated 05/09/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: 222692
  • NC License #: 9900407
  • NC Other: 6558080001 MEDICARE DME PTAN

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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