Susquehanna Valley Pain Management Pc

LBN: Susquehanna Valley Pain Management Pc
Susquehanna Valley Pain Management Pc is an health care organization with primary practice located at 825 Sir Thomas Ct Suite B, Harrisburg PA 17109. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty. Susquehanna Valley Pain Management Pc can be contacted via phone (717) 652-8670, or through Momin, Malik N via phone (717) 652-8670.

Contact Information

Primary practice address
825 Sir Thomas Ct Suite B Harrisburg PA 17109
Phone: (717) 652-8670
Fax: (717) 901-5009
Website:
Map and Directions
Authorized official contact:
Name: Momin, Malik N
Phone: (717) 652-8670

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1053399253
LBN Legal business name Susquehanna Valley Pain Management Pc
DBA Doing business as
Authorized official Momin, Malik N
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2006
Last updated Jan 6th, 2010 - about 15 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 1053399253 NPPES
Pennsylvania MEDICAID 018860300004

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