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Contact Information

JACKSON INTERVENTIONAL PAIN CENTER LLC
379 HOSPITAL BLVD
JACKSON, TN38305-2177
 Phone: 731-267-0222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for JACKSON INTERVENTIONAL PAIN CENTER LLC

NPI Number 1114233228
LBN Legal business name JACKSON INTERVENTIONAL PAIN CENTER LLC
Authorized official ERIC HOMBERG - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/26/2010
Last updated 09/07/2010 - About 16 years ago
Identifiers n/a
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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