East Louisville Interventional Pain Specialists, Pllc

LBN: East Louisville Interventional Pain Specialists, Pllc
East Louisville Interventional Pain Specialists, Pllc is an health care organization with primary practice located at 4203 Springhurst Blvd Suite 101, Louisville KY 40241-6140. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. East Louisville Interventional Pain Specialists, Pllc can be contacted via phone (502) 836-1171, or through Haney, Bill via phone (502) 836-1171.

Contact Information

Primary practice address
4203 Springhurst Blvd Suite 101 Louisville KY 40241-6140
Phone: (502) 836-1171
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Haney, Bill Doctor of Medicine (MD)
Phone: (502) 836-1171

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1043576572
LBN Legal business name East Louisville Interventional Pain Specialists, Pllc
DBA Doing business as
Authorized official Haney, Bill Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2012
Last updated Jan 3rd, 2017 - about 7 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 1043576572 NPPES
Kentucky MEDICAID 7100199990

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