Provider Demographics
NPI:1083276240
Name:PAIN MANAGEMENT PARTNER INC.
Entity Type:Organization
Organization Name:PAIN MANAGEMENT PARTNER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:CAIRNS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:573-270-0676
Mailing Address - Street 1:364 S BROADVIEW ST STE D
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63703-5716
Mailing Address - Country:US
Mailing Address - Phone:573-270-0676
Mailing Address - Fax:573-334-8578
Practice Address - Street 1:13330 SANTA FE TRAIL DR
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-3653
Practice Address - Country:US
Practice Address - Phone:913-498-2121
Practice Address - Fax:913-498-2785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-08
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy