Centers for Comprehensive Pain Care, Inc.
Organization Active NPI Specialist · Dover, OH
NPI 1912950247 · NPPES record last updated Jul 18, 2011
Key facts
- NPI
- 1912950247
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- CENTERS FOR COMPREHENSIVE PAIN CARE, INC.
- Practice address
- 659 Boulevard St
Dover, OH 44622-2026 - Phone
- (330) 602-0767
- Fax
- (330) 365-3831
- NPI assigned
- May 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Charles V Barrett, D.O.
- Title
- Treasurer
- Phone
- (330) 602-0767
Practitioners 2
-
Charles Van Barrett, D.O.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
659 Boulevard St
Dover, OH 44622-2026
Mailing address
659 Boulevard St
Dover, OH 44622-2026
Phone (330) 602-0767
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0157486 | Medicaid | OH |
Other providers in Dover, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2011. 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.