The Spine & Pain Institute

LBN: Western Reserve Professional Group Inc
The Spine & Pain Institute is an health care organization with primary practice located at 307 West Main Street Suite C, Kent OH 44240-2400. The organization recently has 5 registered licenses in different health care specialties including Chiropractic Providers / Orthopedic, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Western Reserve Professional Group Inc can be contacted via phone (330) 677-3628, or through Light, Rachelle Ann via phone (330) 677-3628.

Contact Information

Primary practice address
307 West Main Street Suite C Kent OH 44240-2400
Phone: (330) 677-3628
Fax: (330) 677-4931
Website:
Map and Directions
Authorized official contact:
Name: Light, Rachelle Ann
Phone: (330) 677-3628

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1699986620
LBN Legal business name Western Reserve Professional Group Inc
DBA Doing business as The Spine & Pain Institute
Authorized official Light, Rachelle Ann
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2007
Last updated Jan 15th, 2014 - about 10 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 1699986620 NPPES
Ohio MEDICAID 0251070
Ohio MEDICAID 2406275
Ohio MEDICAID 2675921
Ohio MEDICAID 0926887
Ohio MEDICAID 2082866
Ohio MEDICAID 4085673
Ohio MEDICAID 2311331
Ohio MEDICAID 2493038

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