Jerseyville Pain Management Center, S.C.
LBN: Jerseyville Pain Management Center, S.C.
Jerseyville Pain Management Center, S.C. is an health care organization with primary practice located at 1702 Vaughn Rd , Wood River IL 62095-1898. The organization recently has 4 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
Jerseyville Pain Management Center, S.C. can be contacted via phone (618) 259-3321, or through Briggs, James A via phone (618) 259-3321.
Contact Information
Primary practice address
1702 Vaughn Rd
Wood River IL 62095-1898
Phone: (618) 259-3321
Fax:
Website:
Authorized official contact:
Name: Briggs, James A Doctor of Chiropractic (DC)
Phone: (618) 259-3321
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038009545 | Illinois |
| Chiropractic Providers / Chiropractor | 111N00000X | 038004303 | Illinois |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 36048379 | Illinois |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 36048379 | Illinois |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 70004750 | Illinois |
Profile Details
| NPI number | 1811262728 |
|---|---|
| LBN Legal business name | Jerseyville Pain Management Center, S.C. |
| DBA Doing business as | |
| Authorized official | Briggs, James A Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 12th, 2012 |
| Last updated | Mar 12th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811262728 | NPPES |
| Illinois | Other | 477779 | HEALTHLINK |
| Illinois | Other | 224252 | HEALTHLINK |
| Illinois | MEDICAID | 038009545 | HEALTHLINK |
| Illinois | Other | 210609 | HEALTHLINK |
| Illinois | Other | 5933000001 | HEALTHLINK |
| Illinois | Other | 04232007 | HEALTHLINK |
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