Provider Demographics
NPI:1457817413
Name:PAIN RELIEF CENTERS PA
Entity Type:Organization
Organization Name:PAIN RELIEF CENTERS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HANS
Authorized Official - Middle Name:CHRISTIAN
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-261-0467
Mailing Address - Street 1:PO BOX 2065
Mailing Address - Street 2:
Mailing Address - City:BRYSON CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28713-5065
Mailing Address - Country:US
Mailing Address - Phone:828-449-8610
Mailing Address - Fax:828-538-4441
Practice Address - Street 1:1224 COMMERCE ST SW
Practice Address - Street 2:
Practice Address - City:CONOVER
Practice Address - State:NC
Practice Address - Zip Code:28613-8249
Practice Address - Country:US
Practice Address - Phone:828-261-0467
Practice Address - Fax:828-267-0599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site