Medical Office
LBN: Rise Up Addiction Medicine & Pain Management Pllc
Medical Office is an health care organization with primary practice located at 500 W 5Th St Ste 800 , Winston Salem NC 27101-3131. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty.
Rise Up Addiction Medicine & Pain Management Pllc can be contacted via phone (336) 247-1068, or through Royall, Michael via phone (336) 248-1068.
Contact Information
Primary practice address
500 W 5Th St Ste 800
Winston Salem NC 27101-3131
Phone: (336) 247-1068
Fax:
Website:
Authorized official contact:
Name: Royall, Michael Family Nurse Practitioner (FNP)
Phone: (336) 248-1068
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207LA0401X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X |
Profile Details
| NPI number | 1659943108 |
|---|---|
| LBN Legal business name | Rise Up Addiction Medicine & Pain Management Pllc |
| DBA Doing business as | Medical Office |
| Authorized official | Royall, Michael Family Nurse Practitioner (FNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 14th, 2021 |
| Last updated | Sep 8th, 2021 - about 3 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 | 1659943108 | NPPES |
| North Carolina | MEDICAID | 1356819320 |
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