Cleveland Back & Pain Management Center Inc.

LBN: Cleveland Back & Pain Management Center Inc.
Cleveland Back & Pain Management Center Inc. is an health care organization with primary practice located at 2307 W 14Th St , Cleveland OH 44113-3612. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Cleveland Back & Pain Management Center Inc. can be contacted via phone (216) 687-4003, or through Nickels, John Harvey via phone (216) 687-4003.

Contact Information

Primary practice address
2307 W 14Th St Cleveland OH 44113-3612
Phone: (216) 687-4003
Fax: (216) 687-4069
Website:
Map and Directions
Authorized official contact:
Name: Nickels, John Harvey Doctor of Medicine (MD)
Phone: (216) 687-4003

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 35051581 Ohio

Profile Details

NPI number 1669585428
LBN Legal business name Cleveland Back & Pain Management Center Inc.
DBA Doing business as
Authorized official Nickels, John Harvey Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2006
Last updated Mar 5th, 2012 - about 12 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 1669585428 NPPES
Ohio MEDICAID 2802695

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