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Contact Information

BACK PAIN CENTER PC
100 1ST AVE
PHOENIXVILLE, PA19460-3700
 Phone: 610-495-8416
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for BACK PAIN CENTER PC

NPI # 1124286158
LBN Legal business name BACK PAIN CENTER PC
Authorized official MICHELE HOLDING - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/27/2008
Last updated 12/04/2008 - About 18 years ago
Identifiers
PA License # MD051973-L
PA Other 3770872 AETNA
PA Other 0730718000 AMERIHEALTH
PA Other 510594 BLUE CROSS BLUE SHIELD
PA Other 0730718000 KEYSTONE EAST
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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