Advanced Pain Intervention Sc in Roscoe - Specialist

Advanced Pain Intervention Sc - NPI 1548368475

Advanced Pain Intervention Sc is a Specialist in Roscoe, Illinois. Advanced Pain Intervention Sc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Advanced Pain Intervention Sc is 1548368475. The last update date is 2011-03-23.

Advanced Pain Intervention Sc's current location address is Po Box 109, Roscoe, Illinois. You can contact this provider via phone number 8153871012 and fax number 8153810776. The mailing address for Advanced Pain Intervention Sc is Po Box 109, Roscoe, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Advanced Pain Intervention Sc
Address Po Box 109, Roscoe, Illinois
Phone Number 8153871012
Fax Number 8153810776
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Rosche P Alfred
Credentials M.D., DABP
Telephone Number 8153871012

NPI Number Detail

NPI Number 1548368475
Provider Enumeration Date 2006-09-21
Last Updated Date 2011-03-23

Provider Mailing Address Detail

Address Po Box 109
City Roscoe
State Illinois (IL)
Post Code 610730109
Phone Number 8153871012
Fax Number 8153810776

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 36097335
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36097335 IL --

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FAQs about Advanced Pain Intervention Sc

What is the unique provider identifier assigned to Advanced Pain Intervention Sc?

The Advanced Pain Intervention Sc has been issued the NPI (National Provider Identifier) 1548368475 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Advanced Pain Intervention Sc's facilities are situated?

The facilities of Advanced Pain Intervention Sc are physically located at the following address: Po Box 109, Roscoe, IL, 610730109.

What is Advanced Pain Intervention Sc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Advanced Pain Intervention Sc is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1548368475 to Advanced Pain Intervention Sc?

The Advanced Pain Intervention Sc received its 1548368475 assignment from the Centers for Medicare & Medicaid Services on 2006-09-21.

When was the information regarding Advanced Pain Intervention Sc most recently updated?

The details pertaining to the Advanced Pain Intervention Sc, including its address, specialty, and other relevant information, were last refreshed on 2011-03-23.

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