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 | -- |
Post Comment/ Review Below
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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