Organization Name: | SPINE INTERVENTION, LLC |
NPI Number: | 1003120080 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRED DEFRANCESCH (SOLE MEMBER) |
Mailing Address: | 1919 Veterans Memorial Blvd Suite 101 Kenner |
State: | LA US |
Postal Code: | 700624003 |
Phone Number: | 5044699641 |
Fax Number: | |
NPI Enumeration Date: | 08/02/2010 |
NPI Last Update Date: | 08/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2081P2900X |
License Number: | 022596 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Physical Medicine & Rehabilitation |
Taxonomy Specialization: | Pain Medicine |
Taxonomy Definition: | A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |