Carolina Pain Care Pc

LBN: Carolina Pain Care Pc
Carolina Pain Care Pc is an health care organization with primary practice located at 1112 Yancey St , Shelby NC 28150-3672. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Carolina Pain Care Pc can be contacted via phone (704) 481-7713, or through Brockman, Steven Kenneth via phone (704) 481-7713.

Contact Information

Primary practice address
1112 Yancey St Shelby NC 28150-3672
Phone: (704) 481-7713
Fax: (704) 481-7663
Website:
Map and Directions
Authorized official contact:
Name: Brockman, Steven Kenneth MD PHD
Phone: (704) 481-7713

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 33212 North Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 33212 North Carolina

Profile Details

NPI number 1982129136
LBN Legal business name Carolina Pain Care Pc
DBA Doing business as
Authorized official Brockman, Steven Kenneth MD PHD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2017
Last updated Apr 23rd, 2019 - about 5 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 1982129136 NPPES
North Carolina MEDICAID 1982129136

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