Provider Demographics
NPI:1376885095
Name:ADVANCED PAIN RELIEF CENTERS INC
Entity Type:Organization
Organization Name:ADVANCED PAIN RELIEF CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:K
Authorized Official - Last Name:VAN OSTEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-931-0400
Mailing Address - Street 1:190 CAMPUS BLVD STE 420
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2872
Mailing Address - Country:US
Mailing Address - Phone:540-931-0400
Mailing Address - Fax:540-667-9453
Practice Address - Street 1:1008 TAVERN RD
Practice Address - Street 2:STE 301
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401
Practice Address - Country:US
Practice Address - Phone:304-596-2378
Practice Address - Fax:304-596-2388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C08258Medicare PIN