Anesthesia Pain Services Llc in Decatur - Interventional Pain Medicine
Anesthesia Pain Services Llc - NPI 1821257783
Anesthesia Pain Services Llc is a Interventional Pain Medicine in Decatur, Illinois. Anesthesia Pain Services Llc practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Anesthesia Pain Services Llc is 1821257783. The last update date is 2008-06-05.
Anesthesia Pain Services Llc's current location address is 1800 E Lake Shore Dr, Decatur, Illinois. You can contact this provider via phone number 2174645839 and fax number 2174641693. The mailing address for Anesthesia Pain Services Llc is 1800 E Lake Shore Dr, Decatur, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Anesthesia Pain Services Llc |
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Address | 1800 E Lake Shore Dr, Decatur, Illinois |
Phone Number | 2174645839 |
Fax Number | 2174641693 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Fancher R Shane |
Credentials | M.D. |
Telephone Number | 2174645839 |
NPI Number Detail
NPI Number | 1821257783 |
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Provider Enumeration Date | 2008-06-05 |
Last Updated Date | 2008-06-05 |
Provider Mailing Address Detail
Address | 1800 E Lake Shore Dr |
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City | Decatur |
State | Illinois (IL) |
Post Code | 625213810 |
Phone Number | 2174645839 |
Fax Number | 2174641693 |
Provider's Primary Taxonomy Detail
Speciality | Interventional Pain Medicine |
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Taxonomy | 208Vp0014X |
Definition: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p |
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What is the Anesthesia Pain Services Llc's 1821257783?
The Anesthesia Pain Services Llc's NPI (National Provider Identifier) Number is 1821257783. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Anesthesia Pain Services Llc located?
The Anesthesia Pain Services Llc is located at 1800 E Lake Shore Dr, Decatur, IL 625213810.
What is the Anesthesia Pain Services Llc's specialty and taxonomy code?
The Anesthesia Pain Services Llc's specialty is Interventional Pain Medicine, and the corresponding taxonomy code is 208Vp0014X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1821257783 to Anesthesia Pain Services Llc?
The Centers for Medicare & Medicaid Services originally issued the 1821257783 to Anesthesia Pain Services Llc on 2008-06-05.
As of what date were the details related to Anesthesia Pain Services Llc most recently updated or revised?
The information pertaining to Anesthesia Pain Services Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-05.
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