National Provider Identifier Database

PARK PAIN REHAB CENTER INC
Electroneurodiagnostic


Contact Information

PARK PAIN & REHAB CENTER INC
109 CROSSROADS ROAD
SUITE 6
SCOTTDALE, PA15683
Phone: 724-887-7421
Fax: 724-887-4145
Website:
Specialty Taxonomy Code
* Electroneurodiagnostic 246ZE0600X
Interventional Pain Medicine 208VP0014X
Physical Medicine & Rehabilitation 208100000X

* Indicates primary specialty

NPI Profile & details for PARK PAIN & REHAB CENTER INC

NPI Number 1790841674
Legal business name
LBN
PARK PAIN & REHAB CENTER INC
Authorized official JOHN PARK - (MEDICAL DOCTOR PRIVATE PRACTICE)
Entity Organization
Organization subpart No
Enumeration date 12/28/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: MD034892E
  • PA Medicaid: 0011173760007
  • Other: 197526 HIGHMARK

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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