Iowa Illinois Pain Consultants P.C.

LBN: Iowa Illinois Pain Consultants P.C.
Iowa Illinois Pain Consultants P.C. is an health care organization with primary practice located at 3385 Dexter Ct Ste 300, Davenport IA 52807-3494. The organization recently has only one registered license in Ambulatory Health Care Facilities / Pain, which is considered as the primary health care specialty. Iowa Illinois Pain Consultants P.C. can be contacted via phone (563) 424-0512, or through Miller, Timothy Jon via phone (563) 424-0512.

Contact Information

Primary practice address
3385 Dexter Ct Ste 300 Davenport IA 52807-3494
Phone: (563) 424-0512
Fax: (563) 326-6236
Website:
Map and Directions
Authorized official contact:
Name: Miller, Timothy Jon Doctor of Medicine (MD)
Phone: (563) 424-0512

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Pain 261QP3300X 26118 Iowa

Profile Details

NPI number 1336314574
LBN Legal business name Iowa Illinois Pain Consultants P.C.
DBA Doing business as
Authorized official Miller, Timothy Jon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2008
Last updated Mar 2nd, 2015 - about 10 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 1336314574 NPPES
Iowa MEDICAID 4024711
Iowa Other 14316
Iowa MEDICAID 036079595

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