Provider Demographics
NPI:1013173491
Name:INTERNATIONAL PAIN SOLUTIONS, INC.
Entity Type:Organization
Organization Name:INTERNATIONAL PAIN SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:303-243-5180
Mailing Address - Street 1:1720 S BELLAIRE ST
Mailing Address - Street 2:SUITE 1105
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4304
Mailing Address - Country:US
Mailing Address - Phone:303-243-5180
Mailing Address - Fax:303-243-5181
Practice Address - Street 1:1720 S BELLAIRE ST
Practice Address - Street 2:SUITE 1105
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4304
Practice Address - Country:US
Practice Address - Phone:303-243-5180
Practice Address - Fax:303-243-5181
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
CO3672225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty