Organization
SOLACE PAIN CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHANIEL P NOBLE (AGENT)
(614) 451-7346
Entity
Organization
Contact information
Practice address
1030 CRICKET LANE, SURGI CENTER OF MANSFIELD, MANSFIELD, OH 44906
(614) 451-7346
(614) 451-5846
Mailing address
PO BOX 20451, COLUMBUS, OH 43220
(614) 451-7346
(614) 451-5846
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0975020
—
OH
Enumeration date
01/24/2006
Last updated
08/22/2020
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