Provider Demographics
NPI:1114226149
Name:PAIN RELIEF CENTER L.L.C
Entity Type:Organization
Organization Name:PAIN RELIEF CENTER L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOHONEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC/DAAPM
Authorized Official - Phone:603-886-4500
Mailing Address - Street 1:163 AMHERST ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03064-1396
Mailing Address - Country:US
Mailing Address - Phone:603-886-4500
Mailing Address - Fax:603-886-4515
Practice Address - Street 1:163 AMHERST ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03064-1396
Practice Address - Country:US
Practice Address - Phone:603-886-4500
Practice Address - Fax:603-886-4515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-16
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH729-0904111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1114226149Medicaid