Evergreen Pain Management & Rehabilitation Ltd
LBN: Evergreen Pain Management & Rehabilitation Ltd
Evergreen Pain Management & Rehabilitation Ltd is an health care organization with primary practice located at 5445 Detroit Rd Suite 201, Sheffield Village OH 44054-2904. The organization recently has only one registered license in Chiropractic Providers / Occupational Health, which is considered as the primary health care specialty.
Evergreen Pain Management & Rehabilitation Ltd can be contacted via phone (440) 240-9111, or through Bennett, Brian L via phone (440) 240-9111.
Contact Information
Primary practice address
5445 Detroit Rd Suite 201
Sheffield Village OH 44054-2904
Phone: (440) 240-9111
Fax: (440) 934-5459
Website:
Authorized official contact:
Name: Bennett, Brian L Doctor of Chiropractic (DC)
Phone: (440) 240-9111
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Occupational Health | 111NX0100X | 2954 | Ohio |
Profile Details
| NPI number | 1639318413 |
|---|---|
| LBN Legal business name | Evergreen Pain Management & Rehabilitation Ltd |
| DBA Doing business as | |
| Authorized official | Bennett, Brian L Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 18th, 2009 |
| Last updated | Jun 21st, 2018 - about 6 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 | 1639318413 | NPPES |
| Ohio | MEDICAID | 2085032 | |
| Ohio | Other | 123236700 | |
| Ohio | Other | 000000324155 |
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