Cleveland Pain Management, Pc
LBN: Cleveland Pain Management, Pc
Cleveland Pain Management, Pc is an health care organization with primary practice located at 340 Sunset Dr Nw , Cleveland TN 37312-5349. The organization recently has 5 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty.
Cleveland Pain Management, Pc can be contacted via phone (423) 614-5654, or through Deroos, Timothy via phone (423) 614-5654.
Contact Information
Primary practice address
340 Sunset Dr Nw
Cleveland TN 37312-5349
Phone: (423) 614-5654
Fax: (423) 614-5645
Website:
Authorized official contact:
Name: Deroos, Timothy Doctor of Chiropractic (DC)
Phone: (423) 614-5654
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 1294 | Tennessee |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 9519 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1753 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1830 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 15022 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 13925 | Tennessee |
Profile Details
NPI number | 1649416926 |
---|---|
LBN Legal business name | Cleveland Pain Management, Pc |
DBA Doing business as | |
Authorized official | Deroos, Timothy Doctor of Chiropractic (DC) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 17th, 2008 |
Last updated | Aug 3rd, 2010 - about 14 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 | 1649416926 | NPPES |
Tennessee | Other | 4026063 | BCBSTN |
Tennessee | MEDICAID | 1513537 | BCBSTN |
Tennessee | Other | 3730366 | BCBSTN |
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