Lifelinc Pain Management Pllc

LBN: Lifelinc Pain Management Pllc
Lifelinc Pain Management Pllc is an health care organization with primary practice located at 308 Northcrest Dr , Springfield TN 37172-3963. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Lifelinc Pain Management Pllc can be contacted via phone (866) 362-6963, or through Callan, Eric via phone (901) 844-1590.

Contact Information

Primary practice address
308 Northcrest Dr Springfield TN 37172-3963
Phone: (866) 362-6963
Fax: (866) 362-4202
Website:
Map and Directions
Authorized official contact:
Name: Callan, Eric Certified Registered Nurse Anesthetist (CRNA)
Phone: (901) 844-1590

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X Tennessee
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X Tennessee

Profile Details

NPI number 1306237938
LBN Legal business name Lifelinc Pain Management Pllc
DBA Doing business as
Authorized official Callan, Eric Certified Registered Nurse Anesthetist (CRNA)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2015
Last updated Apr 21st, 2016 - about 8 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 1306237938 NPPES
Tennessee MEDICAID Q013363

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