Rehabilitation Medicine & Pain Center Pc

LBN: Rehabilitation Medicine & Pain Center Pc
Rehabilitation Medicine & Pain Center Pc is an health care organization with primary practice located at 114 Welton Way Suite A, Mooresville NC 28117-9163. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Rehabilitation Medicine & Pain Center Pc can be contacted via phone (704) 664-5766, or through Goodson, Mark Allen via phone (704) 664-5766.

Contact Information

Primary practice address
114 Welton Way Suite A Mooresville NC 28117-9163
Fax: (704) 664-9311
Website:
Authorized official contact:
Name: Goodson, Mark Allen Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 97-01373 North Carolina

Profile Details

NPI number 1598743981
LBN Legal business name Rehabilitation Medicine & Pain Center Pc
DBA Doing business as
Authorized official Goodson, Mark Allen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2006
Last updated Sep 18th, 2007 - about 18 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 1598743981 NPPES
North Carolina MEDICAID 790243U

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