Provider Demographics
NPI:1295013555
Name:COMPREHENSIVE AND INTERVENTIONAL PAIN MANAGEMENT LLP
Entity Type:Organization
Organization Name:COMPREHENSIVE AND INTERVENTIONAL PAIN MANAGEMENT LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAINER
Authorized Official - Middle Name:S
Authorized Official - Last Name:VOGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-990-4530
Mailing Address - Street 1:10561 JEFFREYS ST
Mailing Address - Street 2:SUITE 211
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4266
Mailing Address - Country:US
Mailing Address - Phone:702-990-4530
Mailing Address - Fax:702-990-4527
Practice Address - Street 1:10561 JEFFREYS ST
Practice Address - Street 2:SUITE 211
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4266
Practice Address - Country:US
Practice Address - Phone:702-990-4530
Practice Address - Fax:702-990-4527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-03
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20111501406208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV6713700001Medicare NSC