Interventional Pain Management Of Lake Norman Pllc
LBN: Interventional Pain Management Of Lake Norman Pllc
Interventional Pain Management Of Lake Norman Pllc is an health care organization with primary practice located at 170 Medical Park Rd Suite 301, Mooresville NC 28117-8540. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as the primary health care specialty.
Interventional Pain Management Of Lake Norman Pllc can be contacted via phone (704) 360-4378, or through Edmiston, William J via phone (704) 360-4378.
Contact Information
Primary practice address
170 Medical Park Rd Suite 301
Mooresville NC 28117-8540
Phone: (704) 360-4378
Fax:
Website:
Authorized official contact:
Name: Edmiston, William J Doctor of Medicine (MD)
Phone: (704) 360-4378
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 200000410 | North Carolina |
Profile Details
| NPI number | 1992003339 |
|---|---|
| LBN Legal business name | Interventional Pain Management Of Lake Norman Pllc |
| DBA Doing business as | |
| Authorized official | Edmiston, William J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 9th, 2011 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1992003339 | NPPES |
| North Carolina | MEDICAID | 891269N |
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