Pain Institute Of Southern Arizona Pisa Pc
LBN: Pain Institute Of Southern Arizona Pisa Pc
Pain Institute Of Southern Arizona Pisa Pc is an health care organization with primary practice located at 4881 E Grant Rd Ste 101 , Tucson AZ 85712-2704. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty.
Pain Institute Of Southern Arizona Pisa Pc can be contacted via phone (520) 336-5174, or through Gossler, Kenneth B via phone (520) 318-6035.
Contact Information
Primary practice address
4881 E Grant Rd Ste 101
Tucson AZ 85712-2704
Phone: (520) 336-5174
Fax: (520) 795-9953
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X |
Profile Details
| NPI number | 1619407533 |
|---|---|
| LBN Legal business name | Pain Institute Of Southern Arizona Pisa Pc |
| DBA Doing business as | Pain Institute Of Southern Arizona Pisa Pc |
| Authorized official | Gossler, Kenneth B Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 13th, 2017 |
| Last updated | Jan 28th, 2021 - about 4 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 | 1619407533 | NPPES |
| Arizona | MEDICAID | 954926 |
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