Provider Demographics
NPI:1437497070
Name:PAIN CARE, INC.
Entity Type:Organization
Organization Name:PAIN CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:BAUMEISTER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:425-744-6022
Mailing Address - Street 1:7500 212TH ST SW STE 212
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-7618
Mailing Address - Country:US
Mailing Address - Phone:425-744-6022
Mailing Address - Fax:
Practice Address - Street 1:7500 212TH ST SW STE 212
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-7618
Practice Address - Country:US
Practice Address - Phone:425-744-6022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP00001058208VP0000X, 261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPainGroup - Single Specialty