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Contact Information

PURCHASE PAIN MANAGMENT LLC
1532 LONE OAK RD
SUITE 430
PADUCAH, KY42001
 Phone: 270-415-3830
 Fax: 270-415-3831
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Medical

363AM0700X 97 Physician Assistant
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PURCHASE PAIN MANAGMENT LLC

NPI Number 1174563407
LBN Legal business name PURCHASE PAIN MANAGMENT LLC
Authorized official RILEY LOVE - (MD/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/07/2006
Last updated 06/12/2014 - About 12 years ago
Identifiers
KY License # 26073
KY License # 3004455
KY License # PA121
IL Medicaid 487507348
KY Medicaid 65945115
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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