National Provider Identifier Database

PROACTIVE PAIN CENTER
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

PROACTIVE PAIN CENTER
10965 S STATE ST
SANDY, UT84070-4270
Phone: 385-414-6267
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X
Point of Service 305S00000X

* Indicates primary specialty

NPI Profile & details for PROACTIVE PAIN CENTER

NPI Number 1770961955
Legal business name
LBN
PROACTIVE PAIN CENTER
Authorized official JODIE CUNNINGHAM - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/08/2015
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PROACTIVE PAIN CENTER

There are currently no reviews for PROACTIVE PAIN CENTER


NPIdb - Home
v2.201