Innovative Pain Center Llc in Watertown - Interventional Pain Medicine
Innovative Pain Center Llc - NPI 1003851163
Innovative Pain Center Llc is a Interventional Pain Medicine in Watertown, South Dakota. Innovative Pain Center Llc practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Innovative Pain Center Llc is 1003851163. The last update date is 2010-12-22.
Innovative Pain Center Llc's current location address is 1512 4th St Ne, Watertown, South Dakota. You can contact this provider via phone number 6058840100. The mailing address for Innovative Pain Center Llc is 1512 4th St Ne, Watertown, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Innovative Pain Center Llc |
|---|---|
| Address | 1512 4th St Ne, Watertown, South Dakota |
| Phone Number | 6058840100 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROVIDER |
|---|---|
| Authorized Official Name | Retterath L Patrick |
| Credentials | MD |
| Telephone Number | 6058840100 |
NPI Number Detail
| NPI Number | 1003851163 |
|---|---|
| Provider Enumeration Date | 2006-06-20 |
| Last Updated Date | 2010-12-22 |
Provider Mailing Address Detail
| Address | 1512 4th St Ne |
|---|---|
| City | Watertown |
| State | South Dakota (SD) |
| Post Code | 572016824 |
| Phone Number | 6058840100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Pain Medicine |
|---|---|
| Taxonomy | 208Vp0014X |
| Licence No | 425 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 73M96IN | MN | BCBS | |
| 4995163 | SD | BCBS | |
| 892980000 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Innovative Pain Center Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Innovative Pain Center Llc has been assigned the NPI (National Provider Identifier) 1003851163. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Innovative Pain Center Llc is located?
The Innovative Pain Center Llc is situated at the following address: 1512 4Th St Ne, Watertown, SD, 572016824.
What is Innovative Pain Center Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Innovative Pain Center Llc is Interventional Pain Medicine, and the taxonomy code that classifies this field of practice is 208Vp0014X.
On what date was the 1003851163 assigned to Innovative Pain Center Llc?
The Innovative Pain Center Llc was issued its 1003851163 on 2006-06-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Innovative Pain Center Llc most recently updated or revised?
The information pertaining to Innovative Pain Center Llc, including its address, specialty, and other relevant details, was last updated or revised on 2010-12-22.
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