National Provider Identifier Database

PREMIER PAIN SPINE AND SPORTS MEDICINE PC
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

PREMIER PAIN SPINE AND SPORTS MEDICINE PC
391 EAST BROWN STREET
EAST STROUDSBURG, PA18301
Phone: 570-241-9224
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for PREMIER PAIN SPINE AND SPORTS MEDICINE PC

NPI Number 1457789117
Legal business name
LBN
PREMIER PAIN SPINE AND SPORTS MEDICINE PC
Authorized official MIKHAIL ARTAMONOV - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/16/2013
Last updated 05/02/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • License #: MD424898

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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