East Charelston Pain Clinic And Medical Center

LBN: East Charelston Pain Clinic And Medical Center
East Charelston Pain Clinic And Medical Center is an health care organization with primary practice located at 1721 E Charleston Blvd , Las Vegas NV 89104-1902. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. East Charelston Pain Clinic And Medical Center can be contacted via phone (702) 515-9680, or through Ebonka, Festus via phone (702) 515-9680.

Contact Information

Primary practice address
1721 E Charleston Blvd Las Vegas NV 89104-1902
Phone: (702) 515-9680
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ebonka, Festus
Phone: (702) 515-9680

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X

Profile Details

NPI number 1649512880
LBN Legal business name East Charelston Pain Clinic And Medical Center
DBA Doing business as
Authorized official Ebonka, Festus
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 26th, 2013
Last updated Mar 26th, 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.

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