Provider Demographics
NPI:1972670453
Name:MEDICAL PAIN CENTER, PC
Entity Type:Organization
Organization Name:MEDICAL PAIN CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:BELATTI
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:402-390-6226
Mailing Address - Street 1:7837 CHICAGO PLZ
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-3653
Mailing Address - Country:US
Mailing Address - Phone:402-390-6226
Mailing Address - Fax:
Practice Address - Street 1:7837 CHICAGO PLZ
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3653
Practice Address - Country:US
Practice Address - Phone:402-390-6226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain