Choice Pain & Rehabilitation Center, Llc
LBN: Choice Pain & Rehabilitation Center, Llc
Choice Pain & Rehabilitation Center, Llc is an health care organization with primary practice located at 3413 Olandwood Ct Ste 103 , Olney MD 20832-1489. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty.
Choice Pain & Rehabilitation Center, Llc can be contacted via phone (240) 786-1001, or through Shockley, Tristan Julius via phone (202) 489-1100.
Contact Information
Primary practice address
3413 Olandwood Ct Ste 103
Olney MD 20832-1489
Phone: (240) 786-1001
Fax: (240) 786-1002
Website:
Authorized official contact:
Name: Shockley, Tristan Julius Doctor of Medicine (MD)
Phone: (202) 489-1100
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X |
Profile Details
| NPI number | 1558757914 |
|---|---|
| LBN Legal business name | Choice Pain & Rehabilitation Center, Llc |
| DBA Doing business as | Choice Pain & Rehabilitation Center, Llc |
| Authorized official | Shockley, Tristan Julius Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 13th, 2015 |
| Last updated | Jun 19th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558757914 | NPPES |
| Maryland | Other | 299001 | MEDICARE PTAN |
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