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EASTERN SHORE NEUROLOGY AND PAIN CLINIC NPI 1306818869


NPI Information

NPI: 1306818869
Provider Name: EASTERN SHORE NEUROLOGY AND PAIN CLINIC

Other Name: EASTERN SHORE NEUROLOGY AND PAIN CENTER

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
149 W PEACHTREE AVE
FOLEY, AL
ZIP 36535
Phone: (251) 971-3030
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EASTERN SHORE NEUROLOGY AND PAIN CLINIC is a specialist in Foley, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EASTERN SHORE NEUROLOGY AND PAIN CLINIC NPI is 1306818869. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Eastern Shore Neurology And Pain Center.

The provider's business location address is:

149 W PEACHTREE AVE
FOLEY, AL
ZIP 36535-239
Phone: (251) 971-3030
Fax: (251) 971-3035

The provider's authorized official is Rassan M Tarabein .
The authorized official title is C.e.o. and has the following contact phone number (251) 971-3030.

The enumeration date for this NPI number is 2/7/2006 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistAL18124ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1========= 36526 B001OTHERALABAMATRICARE
20510348OTHERALABAMAUNITED HEALTHCARE
351506401OTHERALABAMABLUE CROSS BLUE SHIELD
45940140OTHERALABAMAAETNA
5F82815MEDICARE UPINALABAMA
6J619OTHERALABAMAMEDICARE GROUP
70510010OTHERALABAMAUNITED HAELTHCARE
8P00033163OTHERALABAMAMEDICARE RAILROAD
951034929OTHERALABAMABLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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