Provider Demographics
NPI:1821503343
Name:DR MANUEL SANCHEZ PAIN MANAGEMENT AND INTERVENTIONS LLC
Entity Type:Organization
Organization Name:DR MANUEL SANCHEZ PAIN MANAGEMENT AND INTERVENTIONS LLC
Other - Org Name:PAIN SPECIALTY GROUP PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANH
Authorized Official - Middle Name:L
Authorized Official - Last Name:NGO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-285-8983
Mailing Address - Street 1:101 SHATTUCK WAY STE 6
Mailing Address - Street 2:
Mailing Address - City:NEWINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7876
Mailing Address - Country:US
Mailing Address - Phone:603-778-9921
Mailing Address - Fax:
Practice Address - Street 1:101 SHATTUCK WAY STE 6
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:NH
Practice Address - Zip Code:03801-7876
Practice Address - Country:US
Practice Address - Phone:603-778-9921
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-06
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty