Comprehensive Pain Management,Inc.

LBN: Comprehensive Pain Management,Inc.
Comprehensive Pain Management,Inc. is an health care organization with primary practice located at 851 Westpoint Dr Suite 203, Wasilla AK 99654-7142. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Comprehensive Pain Management,Inc. can be contacted via phone (907) 373-7934, or through Jaconette, Andrew Richard via phone (907) 677-7440.

Contact Information

Primary practice address
851 Westpoint Dr Suite 203 Wasilla AK 99654-7142
Phone: (907) 373-7934
Fax: (907) 373-7935
Website:
Map and Directions
Authorized official contact:
Name: Jaconette, Andrew Richard Doctor of Medicine (MD)
Phone: (907) 677-7440

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 5328 Alaska

Profile Details

NPI number 1548483308
LBN Legal business name Comprehensive Pain Management,Inc.
DBA Doing business as
Authorized official Jaconette, Andrew Richard Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Sep 12th, 2009 - about 15 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 1548483308 NPPES
Alaska MEDICAID MDG171

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