Advanced Pain Intervention Sc

LBN: Advanced Pain Intervention Sc
Advanced Pain Intervention Sc is an health care organization with primary practice located at 534 Roxbury Rd , Rockford IL 61107-5076. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Advanced Pain Intervention Sc can be contacted via phone (815) 387-1012, or through Rosche, Alfred P via phone (815) 387-1012.

Contact Information

Primary practice address
534 Roxbury Rd Rockford IL 61107-5076
Phone: (815) 387-1012
Fax: (815) 381-0776
Website:
Map and Directions
Authorized official contact:
Name: Rosche, Alfred P M.D., DABPM
Phone: (815) 387-1012

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036097335 Illinois

Profile Details

NPI number 1548368475
LBN Legal business name Advanced Pain Intervention Sc
DBA Doing business as
Authorized official Rosche, Alfred P M.D., DABPM
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Mar 23rd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548368475 NPPES
Illinois MEDICAID 036097335

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