Revitalize Pain And Spine Llc

LBN: Revitalize Pain And Spine Llc
Revitalize Pain And Spine Llc is an health care organization with primary practice located at 4838 E Baseline Rd Ste 110 , Mesa AZ 85206-4674. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Revitalize Pain And Spine Llc can be contacted via phone (480) 210-2641, or through Williams, Amy via phone (480) 969-4040.

Contact Information

Primary practice address
4838 E Baseline Rd Ste 110 Mesa AZ 85206-4674
Phone: (480) 210-2641
Fax: (480) 210-2642
Website:
Map and Directions
Authorized official contact:
Name: Williams, Amy
Phone: (480) 969-4040

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1346848090
LBN Legal business name Revitalize Pain And Spine Llc
DBA Doing business as
Authorized official Williams, Amy
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2020
Last updated Oct 14th, 2020 - 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.

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