PROACTIVE PAIN TREATMENT LLC – NPI #1730742859
Clinic/Center

PROACTIVE PAIN TREATMENT LLC is an AHC clinic located in TEMPE, AZ. NPPES has assigned the NPI number 1730742859 to PROACTIVE PAIN TREATMENT LLC on April 15, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROACTIVE PAIN TREATMENT LLC below.

NPI Profile for
PROACTIVE PAIN TREATMENT LLC

NPI Number
1730742859
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROACTIVE PAIN TREATMENT LLC
Primary location
1001 E WARNER RD STE 103
TEMPE, AZ 85284-3224
Phone: (480) 566-9755 Fax: (480) 566-9979
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JERRY BUCKNER
SOLE MBR
Phone: (480) 930-4018
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.