Provider Demographics
NPI:1508022948
Name:BELLE MEADE PAIN & SPINAL REHAB CENTER, PLLC
Entity Type:Organization
Organization Name:BELLE MEADE PAIN & SPINAL REHAB CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWENER
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:OBERSTEADT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:615-269-5558
Mailing Address - Street 1:4515 HARDING RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2118
Mailing Address - Country:US
Mailing Address - Phone:615-269-5558
Mailing Address - Fax:615-269-5973
Practice Address - Street 1:4515 HARDING RD
Practice Address - Street 2:SUITE 110
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2118
Practice Address - Country:US
Practice Address - Phone:615-269-5558
Practice Address - Fax:615-269-5973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-05
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000167261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain