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Contact Information

PAIN MANAGEMENT PHYSICIANS, LLC
1601 E BROADWAY
LOWER LEVEL
COLUMBIA, MO65201
 Phone: 573-815-2700
 Fax: 573-815-3693
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for PAIN MANAGEMENT PHYSICIANS, LLC

NPI Number 1679514087
LBN Legal business name PAIN MANAGEMENT PHYSICIANS, LLC
Authorized official STEVEN STREET - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/09/2006
Last updated 03/15/2012 - About 14 years ago
Identifiers
MO Medicaid 501869903
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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