Provider Demographics
NPI:1942698626
Name:VETERINARY NEUROLOGY AND PAIN MANAGEMENT CENTER OF NE
Entity Type:Organization
Organization Name:VETERINARY NEUROLOGY AND PAIN MANAGEMENT CENTER OF NE
Other - Org Name:VNAP
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/VETERINARIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:KUBE
Authorized Official - Suffix:
Authorized Official - Credentials:DVM, DACVIM, CCRT
Authorized Official - Phone:508-921-1018
Mailing Address - Street 1:2250 PROVIDENCE HWY
Mailing Address - Street 2:
Mailing Address - City:WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02081-2548
Mailing Address - Country:US
Mailing Address - Phone:508-921-1018
Mailing Address - Fax:508-422-0473
Practice Address - Street 1:2250 PROVIDENCE HWY
Practice Address - Street 2:
Practice Address - City:WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02081-2548
Practice Address - Country:US
Practice Address - Phone:508-921-1018
Practice Address - Fax:508-422-0473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-02
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5940284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital