Provider Demographics
NPI:1336509694
Name:THE PAIN REMEDY INSTITUTE
Entity Type:Organization
Organization Name:THE PAIN REMEDY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:720-660-0514
Mailing Address - Street 1:10811 SHADOW PINES RD
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8487
Mailing Address - Country:US
Mailing Address - Phone:720-660-0514
Mailing Address - Fax:720-583-7018
Practice Address - Street 1:14991 E HAMPDEN AVE STE 165
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3980
Practice Address - Country:US
Practice Address - Phone:720-660-0514
Practice Address - Fax:720-583-7018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-29
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO40692207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty