Provider Demographics
NPI:1548544877
Name:COMPASSIONATE PAIN MANAGEMENT
Entity type:Organization
Organization Name:COMPASSIONATE PAIN MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:DICKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-734-5600
Mailing Address - Street 1:105A N FRONT ST
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-2707
Mailing Address - Country:US
Mailing Address - Phone:302-629-4985
Mailing Address - Fax:302-629-4986
Practice Address - Street 1:105A N FRONT ST
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-2707
Practice Address - Country:US
Practice Address - Phone:302-629-4985
Practice Address - Fax:302-629-4986
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPASSIONATE PAIN MANAGEMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-05
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies