Provider Demographics
NPI:1467706093
Name:AMERICAN PAIN SOLUTIONS INC.OF MARYLAND
Entity Type:Organization
Organization Name:AMERICAN PAIN SOLUTIONS INC.OF MARYLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:STANWICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-764-8004
Mailing Address - Street 1:7131 AMBASSADOR RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-2708
Mailing Address - Country:US
Mailing Address - Phone:410-645-8292
Mailing Address - Fax:443-348-7061
Practice Address - Street 1:7131 AMBASSADOR RD
Practice Address - Street 2:SUITE 150
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-2708
Practice Address - Country:US
Practice Address - Phone:410-645-8292
Practice Address - Fax:443-348-7061
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN PAIN SOLUTIONS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-11-05
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center