Collaborative Pain Management, Pllc

LBN: Collaborative Pain Management, Pllc
Collaborative Pain Management, Pllc is an health care organization with primary practice located at 10400 Eaton Pl Ste 312 , Fairfax VA 22030-2208. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Ambulatory Health Care Facilities / Pain. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Collaborative Pain Management, Pllc can be contacted via phone (703) 261-6758, or through Jacques, Michelle Marie via phone (703) 261-6758.

Contact Information

Primary practice address
10400 Eaton Pl Ste 312 Fairfax VA 22030-2208
Phone: (703) 261-6758
Fax: (703) 995-4860
Website:
Map and Directions
Authorized official contact:
Name: Jacques, Michelle Marie Nurse Practitioner (NP)
Phone: (703) 261-6758

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Ambulatory Health Care Facilities / Pain 261QP3300X

Profile Details

NPI number 1356947295
LBN Legal business name Collaborative Pain Management, Pllc
DBA Doing business as
Authorized official Jacques, Michelle Marie Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2020
Last updated Dec 7th, 2020 - 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.

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