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Contact Information

APPLACHAIN PAIN THERAPY INSTITUTE
4407 MACCORKLE AVE SE
CHARLESTON, WV25304-2505
 Phone: 304-925-2922
 Fax: 304-926-8009
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for APPLACHAIN PAIN THERAPY INSTITUTE

NPI Number 1144340787
LBN Legal business name APPLACHAIN PAIN THERAPY INSTITUTE
Authorized official JOSIAH LILLY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2007
Last updated 10/24/2007 - About 19 years ago
Identifiers
WV License # 11322
WV Medicaid 0201994000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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