Provider Demographics
NPI:1396040994
Name:SOLA PAIN CENTERS, LLC
Entity Type:Organization
Organization Name:SOLA PAIN CENTERS, LLC
Other - Org Name:SOLA MEDICAL CENTERS - KENNER BRANCH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CIRO
Authorized Official - Middle Name:
Authorized Official - Last Name:CERRATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-461-9009
Mailing Address - Street 1:1919 VETERANS MEMORIAL BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70062-4003
Mailing Address - Country:US
Mailing Address - Phone:504-461-9009
Mailing Address - Fax:504-461-9170
Practice Address - Street 1:1919 VETERANS MEMORIAL BLVD STE 102
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70062-4003
Practice Address - Country:US
Practice Address - Phone:504-461-9009
Practice Address - Fax:504-461-9170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-13
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty