Provider Demographics
NPI:1447541974
Name:INTEGRATED PAIN SPECIALISTS, LTD
Entity type:Organization
Organization Name:INTEGRATED PAIN SPECIALISTS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HINRICHS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:618-233-4458
Mailing Address - Street 1:1820 N BELT E
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62221-5523
Mailing Address - Country:US
Mailing Address - Phone:618-233-4458
Mailing Address - Fax:618-233-8285
Practice Address - Street 1:1820 N BELT E
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62221-5523
Practice Address - Country:US
Practice Address - Phone:618-233-4458
Practice Address - Fax:618-233-8285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty