Vitality Pain Care

LBN: Interventional Pain & Spine Specialists Llc
Vitality Pain Care is an health care organization with primary practice located at 1048 Ashley St Ste 103A , Bowling Green KY 42103-2449. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty. Interventional Pain & Spine Specialists Llc can be contacted via phone (502) 352-2530, or through Fisher, Tamia via phone (812) 962-7894.

Contact Information

Primary practice address
1048 Ashley St Ste 103A Bowling Green KY 42103-2449
Phone: (502) 352-2530
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fisher, Tamia
Phone: (812) 962-7894

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1649942848
LBN Legal business name Interventional Pain & Spine Specialists Llc
DBA Doing business as Vitality Pain Care
Authorized official Fisher, Tamia
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2021
Last updated Nov 2nd, 2022 - about 2 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 1649942848 NPPES
Kentucky Other 18D2154148 CLIA

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