Interventional Spine Pain Consultants, Pa

LBN: Interventional Spine Pain Consultants, Pa
Interventional Spine Pain Consultants, Pa is an health care organization with primary practice located at 774 Christiana Rd Ste 111, Newark DE 19713-4236. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Interventional Spine Pain Consultants, Pa can be contacted via phone (302) 478-7001, or through Witherell, Peter M via phone (302) 478-7001.

Contact Information

Primary practice address
774 Christiana Rd Ste 111 Newark DE 19713-4236
Phone: (302) 478-7001
Fax: (302) 478-5101
Website:
Map and Directions
Authorized official contact:
Name: Witherell, Peter M Doctor of Medicine (MD)
Phone: (302) 478-7001

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X

Profile Details

NPI number 1699700195
LBN Legal business name Interventional Spine Pain Consultants, Pa
DBA Doing business as
Authorized official Witherell, Peter M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2006
Last updated Apr 5th, 2017 - about 7 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 1699700195 NPPES
Delaware MEDICAID 200044870

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