Pain Treatment Centers Of Maryland, Llc
LBN: Pain Treatment Centers Of Maryland, Llc
Pain Treatment Centers Of Maryland, Llc is an health care organization with primary practice located at 116 Westminster Pike Suite 106, Reisterstown MD 21136-1027. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty.
Pain Treatment Centers Of Maryland, Llc can be contacted via phone (410) 833-1011, or through Reznikov, Tatyana via phone (410) 833-1101.
Contact Information
Primary practice address
116 Westminster Pike Suite 106
Reisterstown MD 21136-1027
Phone: (410) 833-1011
Fax: (410) 833-1680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X |
Profile Details
| NPI number | 1174917736 |
|---|---|
| LBN Legal business name | Pain Treatment Centers Of Maryland, Llc |
| DBA Doing business as | |
| Authorized official | Reznikov, Tatyana Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 22nd, 2015 |
| Last updated | Jan 29th, 2016 - about 9 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 | 1174917736 | NPPES |
| Maryland | Other | 130198 | MEDICARE PTAN |
| Maryland | MEDICAID | 512314300 | MEDICARE PTAN |
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