Whalio Doctors

NPI 1477004513

Pro Health Pain & Rehab LLC.

Organisation Interventional Pain Medicine Physician Lavista, NE

Practice location

Address
12744 Westport Parkway Suite 1e, Lavista, NE 68138
Phone
(949) 281-9086
Mailing address
60 Lorraine CT., Holbook, NY 11741

Authorised official

Name
Marc a Resasco
Title
Owner
Phone
(949) 281-9086

Registered specialties (5)

Interventional Pain Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X
Chiropractor
Chiropractic Providers Taxonomy 111N00000X
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X

Registry record

NPI
1477004513
Entity type
Organization
NPI issued
24 Oct 2016
Record last updated
24 Oct 2016

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.