Comprehensive Pain Management Of The Fox Valley, S.C.
LBN: Comprehensive Pain Management Of The Fox Valley, S.C.
Comprehensive Pain Management Of The Fox Valley, S.C. is an health care organization with primary practice located at 100 Theda Clark Medical Plz Suite 252, Neenah WI 54956-2763. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty.
Comprehensive Pain Management Of The Fox Valley, S.C. can be contacted via phone (920) 733-7230, or through Yakovlev, Alexander E via phone (920) 733-7230.
Contact Information
Primary practice address
100 Theda Clark Medical Plz Suite 252
Neenah WI 54956-2763
Phone: (920) 733-7230
Fax: (920) 729-0347
Website:
Authorized official contact:
Name: Yakovlev, Alexander E Doctor of Medicine (MD)
Phone: (920) 733-7230
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 36140-20 | Wisconsin |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 36140-20 | Wisconsin |
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 36140-20 | Wisconsin |
Profile Details
NPI number | 1770846776 |
---|---|
LBN Legal business name | Comprehensive Pain Management Of The Fox Valley, S.C. |
DBA Doing business as | |
Authorized official | Yakovlev, Alexander E Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 25th, 2012 |
Last updated | Jan 24th, 2013 - about 11 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 | 1770846776 | NPPES |
Wisconsin | MEDICAID | 34086400 |
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