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Contact Information

INTERVENTIONAL SPINE PAIN CONSULTANTS, PA
774 CHRISTIANA RD
STE 111
NEWARK, DE19713-4236
 Phone: 302-478-7001
 Fax: 302-478-5101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for INTERVENTIONAL SPINE PAIN CONSULTANTS, PA

NPI # 1699700195
LBN Legal business name INTERVENTIONAL SPINE PAIN CONSULTANTS, PA
Authorized official PETER WITHERELL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/12/2006
Last updated 04/05/2017 - About 9 years ago
Identifiers
DE Medicaid 200044870
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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