NPI 1356947295

Collaborative Pain Management, PLLC

Organisation Pain Medicine Physician Fairfax, VA

Practice location

Address: 10400 Eaton Pl STE 312, Fairfax, VA 22030-2208
Phone: (703) 261-6758
Fax: (703) 995-4860

Authorised official

Name: Michelle Marie Jacques
Title: Managing Member
Phone: (703) 261-6758

Registered specialties (2)

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X

Other Pain Medicine providers in Virginia →

Pain Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QP3300X

Other Clinic/Center providers in Virginia →

Registry record

NPI: 1356947295
Entity type: Organization
NPI issued: 7 Dec 2020
Record last updated: 7 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.