Provider Demographics
NPI:1033149323
Name:PAIN CONTROL CONSULTANTS
Entity Type:Organization
Organization Name:PAIN CONTROL CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HEALOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-252-6674
Mailing Address - Street 1:2501 4TH AV N
Mailing Address - Street 2:SUITE C
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101
Mailing Address - Country:US
Mailing Address - Phone:406-252-6674
Mailing Address - Fax:406-896-1871
Practice Address - Street 1:2501 4TH AV N
Practice Address - Street 2:SUITE C
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101
Practice Address - Country:US
Practice Address - Phone:406-252-6674
Practice Address - Fax:406-896-1871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT5042208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT01261OtherBCBS
MT103194Medicaid
MT01261OtherBCBS