Provider Demographics
NPI:1023633963
Name:LIFE OVER PAIN NEUROPATHY CENTER LLC
Entity type:Organization
Organization Name:LIFE OVER PAIN NEUROPATHY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR/ CFO
Authorized Official - Prefix:
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-745-8745
Mailing Address - Street 1:11039 HULL STREET RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-3254
Mailing Address - Country:US
Mailing Address - Phone:804-745-8745
Mailing Address - Fax:888-628-6488
Practice Address - Street 1:11039 HULL STREET RD
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-3254
Practice Address - Country:US
Practice Address - Phone:804-658-3483
Practice Address - Fax:888-628-6488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-16
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Multi-Specialty