Provider Demographics
NPI:1497323570
Name:REGENERATIVE SPINE, PAIN, AND NEUROPATHY CENTERS, INC.
Entity Type:Organization
Organization Name:REGENERATIVE SPINE, PAIN, AND NEUROPATHY CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IN-HOUSE COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:LINSNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-912-2297
Mailing Address - Street 1:206 E OCEAN AVE
Mailing Address - Street 2:
Mailing Address - City:LOMPOC
Mailing Address - State:CA
Mailing Address - Zip Code:93436-6825
Mailing Address - Country:US
Mailing Address - Phone:847-912-2297
Mailing Address - Fax:
Practice Address - Street 1:3550 Q ST STE 105
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1645
Practice Address - Country:US
Practice Address - Phone:805-928-7361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
No204R00000XAllopathic & Osteopathic PhysiciansElectrodiagnostic MedicineGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction MedicineGroup - Multi-Specialty