Innovative Pain Center Llc

LBN: Innovative Pain Center Llc
Innovative Pain Center Llc is an health care organization with primary practice located at 1512 4Th St Ne , Watertown SD 57201-6824. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as the primary health care specialty. Innovative Pain Center Llc can be contacted via phone (605) 884-0100, or through Retterath, Patrick L via phone (605) 884-0100.

Contact Information

Primary practice address
1512 4Th St Ne Watertown SD 57201-6824
Phone: (605) 884-0100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Retterath, Patrick L Doctor of Medicine (MD)
Phone: (605) 884-0100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 0425 South Dakota

Profile Details

NPI number 1003851163
LBN Legal business name Innovative Pain Center Llc
DBA Doing business as
Authorized official Retterath, Patrick L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Dec 22nd, 2010 - about 15 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 1003851163 NPPES
Minnesota Other 73M96IN BCBS
Minnesota Other 4995163 BCBS
Minnesota MEDICAID 892980000 BCBS

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