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Contact Information

NORTHEAST PAIN MANAGEMENT, PC
1365 BROADWAY
BANGOR, ME04401-2401
 Phone: 207-942-6226
 Fax: 207-992-2756
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for NORTHEAST PAIN MANAGEMENT, PC

NPI # 1578579868
LBN Legal business name NORTHEAST PAIN MANAGEMENT, PC
Authorized official WILLIAM ZOLPER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/31/2006
Last updated 03/12/2021 - About 5 years ago
Identifiers
ME Medicaid 432219900
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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