ADVANCED SPINE AND PAIN CENTER, P.A.; NPI #1003275603

Contact Information

ADVANCED SPINE AND PAIN CENTER, P.A.

166 SPRINGBROOK AVE
SUITE 105
CLAYTON, NC 27520-8520

Phone: 919-359-8643
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Pain Medicine	2081P2900X	25	Physician/Physical Medicine and Rehabilitation
Pain Medicine	208VP0000X	72	Physician/Pain Management

Indicates primary specialty

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NPI Profile & details for ADVANCED SPINE AND PAIN CENTER, P.A.

NPI #	`1003275603`
LBN Legal business name	ADVANCED SPINE AND PAIN CENTER, P.A.
Authorized official	RACHID IDRISSI - (PHYSICIAN OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	02/11/2016
Last updated	02/11/2016 - About 10 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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