Provider Demographics
NPI:1801541883
Name:POST SURGICAL PAIN CARE LLC
Entity type:Organization
Organization Name:POST SURGICAL PAIN CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:KUM-NJI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-988-9028
Mailing Address - Street 1:101 JUDGE TANNER BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7504
Mailing Address - Country:US
Mailing Address - Phone:504-327-5266
Mailing Address - Fax:724-252-2152
Practice Address - Street 1:101 JUDGE TANNER BLVD STE 102
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7504
Practice Address - Country:US
Practice Address - Phone:504-327-5266
Practice Address - Fax:724-252-2152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty