Organization
COMPREHENSIVE PAIN CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACI DAVISON (BILLING MANAGER)
(440) 989-2066
Entity
Organization
Contact information
Practice address
5334 MEADOW LANE CT, STE 200, SHEFFIELD VILLAGE, OH 44035-1469
(440) 934-8922
(440) 934-8949
Mailing address
4804 LEAVITT RD, STE A, LORAIN, OH 44053
(440) 989-2066
(440) 989-1153
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2648657
—
OH
Enumeration date
05/09/2007
Last updated
06/20/2011
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