Provider Demographics
NPI:1801236286
Name:COMPREHENSIVE SPINE & PAIN MANAGEMENT
Entity type:Organization
Organization Name:COMPREHENSIVE SPINE & PAIN MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:N
Authorized Official - Last Name:LEYTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-297-6448
Mailing Address - Street 1:PO BOX 5371
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23471-0371
Mailing Address - Country:US
Mailing Address - Phone:757-297-6448
Mailing Address - Fax:
Practice Address - Street 1:816 INDEPENDENCE BLVD
Practice Address - Street 2:SUITE #2C
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-6010
Practice Address - Country:US
Practice Address - Phone:757-297-6448
Practice Address - Fax:757-460-1769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-28
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty