Provider Demographics
NPI:1952337503
Name:CHRONIC PAIN CONSULTANTS, P.C.
Entity type:Organization
Organization Name:CHRONIC PAIN CONSULTANTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:HSU
Authorized Official - Last Name:KOLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-488-3636
Mailing Address - Street 1:43401 SCHOENHERR RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-1961
Mailing Address - Country:US
Mailing Address - Phone:586-488-3636
Mailing Address - Fax:586-488-3635
Practice Address - Street 1:43401 SCHOENHERR RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-1961
Practice Address - Country:US
Practice Address - Phone:586-488-3636
Practice Address - Fax:586-488-3635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301056051208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0501142OtherBCBSM
136276101OtherUS DEPT OF LABOR
MI1952337503OtherCORPORATE NPI
50088223OtherMEDICARE - RAILROAD
MIOE00595OtherBCBSM GROUP ID
MIWK056051OtherSTATE LICENSE NUMBER
MI104280270Medicaid
MI1174587380OtherWILLIAM H. KOLE MD - NPI
MIF81501Medicare UPIN
MIOE00595OtherBCBSM GROUP ID