Provider Demographics
NPI:1477912236
Name:BACK PAIN RELIEF SERVICES & CONSULTING, INC.
Entity Type:Organization
Organization Name:BACK PAIN RELIEF SERVICES & CONSULTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:EPPELBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-354-0234
Mailing Address - Street 1:515 SESSINGHAM CT
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-8942
Mailing Address - Country:US
Mailing Address - Phone:404-354-0234
Mailing Address - Fax:
Practice Address - Street 1:515 SESSINGHAM CT
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-8942
Practice Address - Country:US
Practice Address - Phone:404-354-0234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-22
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty