| Organization Name: | FOUR STATES PAIN RELIEF INSTITUTE, LLC |
| NPI Number: | 1033409198 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN KNUDSEN III (OWNER) |
| Mailing Address: | 2650 E 32nd St Suite 101 Joplin |
| State: | MO US |
| Postal Code: | 648044313 |
| Phone Number: | 4176244277 |
| Fax Number: | 4176244297 |
| NPI Enumeration Date: | 04/11/2011 |
| NPI Last Update Date: | 08/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207LP2900X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Anesthesiology |
| Taxonomy Specialization: | Pain Medicine |
| Taxonomy Definition: | An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |