Applachain Pain Therapy Institute

LBN: Applachain Pain Therapy Institute
Applachain Pain Therapy Institute is an health care organization with primary practice located at 4407 Maccorkle Ave Se , Charleston WV 25304-2505. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as the primary health care specialty. Applachain Pain Therapy Institute can be contacted via phone (304) 925-2922, or through Lilly, Josiah Kelley via phone (304) 925-2922.

Contact Information

Primary practice address
4407 Maccorkle Ave Se Charleston WV 25304-2505
Fax: (304) 926-8009
Website:
Authorized official contact:
Name: Lilly, Josiah Kelley Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 11322 West Virginia

Profile Details

NPI number 1144340787
LBN Legal business name Applachain Pain Therapy Institute
DBA Doing business as
Authorized official Lilly, Josiah Kelley Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2007
Last updated Oct 24th, 2007 - about 17 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 1144340787 NPPES
West Virginia MEDICAID 0201994000

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