National Provider Identifier Database

EASTERN HEADACHE AND SPINE PA
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

EASTERN HEADACHE AND SPINE, PA
498 A RED BANKS ROAD
GREENVILLE, NC27858
Phone: 252-215-3067
Fax:
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
Neuroradiology 2085N0700X
Pain Medicine 2084P2900X

* Indicates primary specialty

NPI Profile & details for EASTERN HEADACHE AND SPINE, PA

NPI Number 1952531642
Legal business name
LBN
EASTERN HEADACHE AND SPINE, PA
Authorized official JAMES COOPER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/16/2009
Last updated 03/11/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: 200400320
  • NC Medicaid: 891363X
  • Other: 1363X BLUE CROSS BLUE SHIELD

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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