Provider Demographics
NPI:1407827801
Name:PAIN MANAGEMENT TECHNOLOGIES
Entity Type:Organization
Organization Name:PAIN MANAGEMENT TECHNOLOGIES
Other - Org Name:PMT MEDICAL INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEFKOVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-239-7880
Mailing Address - Street 1:1760 WADSWORTH RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320
Mailing Address - Country:US
Mailing Address - Phone:800-239-7880
Mailing Address - Fax:800-446-5906
Practice Address - Street 1:1760 WADSWORTH RD
Practice Address - Street 2:BLDG A
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-2570
Practice Address - Country:US
Practice Address - Phone:800-239-7880
Practice Address - Fax:800-446-5906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-01
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0907451Medicaid
OH0907451Medicaid