Advanced Pain Management
Organization Active NPI Specialist · Racine, WI
NPI 1003062282 · NPPES record last updated Aug 7, 2008
Key facts
- NPI
- 1003062282
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- ADVANCED PAIN MANAGEMENT
- Practice address
- 4216 Old Green Bay Rd
Racine, WI 53403-9486 - Phone
- (414) 325-3713
- NPI assigned
- Aug 7, 2008
- Organization subpart
- No
Authorized official
- Name
- Sheila Riley
- Title
- Billing Supervisor
- Phone
- (414) 325-3713
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Advanced Pain Management SC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
4216 Old Green Bay Rd
Racine, WI 53403-9486
Mailing address
4216 Old Green Bay Rd
Racine, WI 53403-9486
Phone (414) 325-3713
Other providers in Racine, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.