Olympic Rehab Wellness And Pain Center Pc
LBN: Olympic Rehab Wellness And Pain Center Pc
Olympic Rehab Wellness And Pain Center Pc is an health care organization with primary practice located at 10420 Old Olive Street Rd Ste 305 , Saint Louis MO 63141-5914. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty.
Olympic Rehab Wellness And Pain Center Pc can be contacted via phone (314) 849-1003, or through Beyzer, Alexander via phone (314) 849-1003.
Contact Information
Primary practice address
10420 Old Olive Street Rd Ste 305
Saint Louis MO 63141-5914
Phone: (314) 849-1003
Fax: (314) 455-3469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 111213 | Missouri |
Profile Details
| NPI number | 1669484119 |
|---|---|
| LBN Legal business name | Olympic Rehab Wellness And Pain Center Pc |
| DBA Doing business as | |
| Authorized official | Beyzer, Alexander Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Jun 9th, 2024 - about last year |
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 | 1669484119 | NPPES |
| Missouri | MEDICAID | 507194207 |
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