Provider Demographics
NPI:1336310358
Name:TRI STATE PAIN MANAGEMENT SERVICES, P.S.C.
Entity Type:Organization
Organization Name:TRI STATE PAIN MANAGEMENT SERVICES, P.S.C.
Other - Org Name:THE PAIN MANAGEMENT GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHEINER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-532-2704
Mailing Address - Street 1:PO BOX 3696
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47025-3696
Mailing Address - Country:US
Mailing Address - Phone:812-532-2704
Mailing Address - Fax:
Practice Address - Street 1:606 WILSON CREEK RD
Practice Address - Street 2:SUITE 120
Practice Address - City:LAWRENCEBURG
Practice Address - State:IN
Practice Address - Zip Code:47025-1095
Practice Address - Country:US
Practice Address - Phone:812-532-2704
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty