Provider Demographics
NPI:1194481879
Name:INTEGRATIVE PAIN SOLUTIONS
Entity type:Organization
Organization Name:INTEGRATIVE PAIN SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:KALIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:413-388-2344
Mailing Address - Street 1:2824 WHISPERING CREEK LOOP
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-6289
Mailing Address - Country:US
Mailing Address - Phone:413-388-2344
Mailing Address - Fax:
Practice Address - Street 1:3706 ATHERTON RD STE 150
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765-3717
Practice Address - Country:US
Practice Address - Phone:413-388-2344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-16
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty