Haven Spine & Pain Center Pllc
LBN: Haven Spine & Pain Center Pllc
Haven Spine & Pain Center Pllc is an health care organization with primary practice located at 2680 Leonard St Ne Ste 3 , Grand Rapids MI 49525-6902. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty.
Haven Spine & Pain Center Pllc can be contacted via phone (616) 364-4200, or through Dillon, Jack via phone (312) 505-1033.
Contact Information
Primary practice address
2680 Leonard St Ne Ste 3
Grand Rapids MI 49525-6902
Phone: (616) 364-4200
Fax: (616) 364-7347
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ||
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | ||
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X |
Profile Details
NPI number | 1053901314 |
---|---|
LBN Legal business name | Haven Spine & Pain Center Pllc |
DBA Doing business as | |
Authorized official | Dillon, Jack |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 21st, 2021 |
Last updated | Dec 9th, 2021 - about 3 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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