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MICHIGAN PAIN SPECIALISTS PLLC NPI 1811057490


NPI Information

NPI: 1811057490
Provider Name: MICHIGAN PAIN SPECIALISTS, PLLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 23D2216043

Address:
135 S. PROSPECT ST
YPSILANTI, MI
ZIP 48198
Phone: (734) 547-4860
Get Directions

MICHIGAN PAIN SPECIALISTS, PLLC is an interventional pain medicine pain medicine in Ypsilanti, MI. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. MICHIGAN PAIN SPECIALISTS, PLLC NPI is 1811057490. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

135 S. PROSPECT ST
YPSILANTI, MI
ZIP 48198
Phone: (734) 547-4860
Fax: (734) 547-4871

The provider's authorized official is Edward Washabaugh .
The authorized official title is Physician and has the following contact phone number (734) 547-4860.

The CLIA number assigned to this NPI record is 23D2216043 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 6/15/2021.


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
1208VP0014XPain MedicineInterventional Pain MedicineYes

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
1050H112170OTHERMICHIGANBCBS-MI GROUP NO
2202036000OTHERMICHIGANUSDOL GROUP NO

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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