National Provider Identifier Database

INTERVENTIONAL SPINE AND PAIN PHYSICIANS PA
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA
9645 GROVE CIR N STE 200
MAPLE GROVE, MN55369
Phone: 763-201-8191
Fax: 763-201-8192
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Interventional Pain Medicine 208VP0014X
Occupational Therapist 225X00000X
Pain Medicine 207LP2900X
Physical Medicine & Rehabilitation 208100000X
Physical Therapist 225100000X
Preventive Medicine/Occupational-Environmental Medicine 2083P0500X

* Indicates primary specialty

NPI Profile & details for INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA

NPI Number 1326398561
Legal business name
LBN
INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA
Authorized official JASON WOLFF - (PARTNER)
Entity Organization
Organization subpart No
Enumeration date 09/14/2012
Last updated 05/10/2021 - About 5 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.

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