Provider Demographics
NPI:1285697086
Name:PAIN RELIEF CENTERS
Entity type:Organization
Organization Name:PAIN RELIEF CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HANS
Authorized Official - Middle Name:CHRISTIAN
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-261-0467
Mailing Address - Street 1:1224 COMMERCE ST SW STE A
Mailing Address - Street 2:
Mailing Address - City:CONOVER
Mailing Address - State:NC
Mailing Address - Zip Code:28613-8245
Mailing Address - Country:US
Mailing Address - Phone:828-261-0467
Mailing Address - Fax:828-267-0599
Practice Address - Street 1:1224 COMMERCE ST SW
Practice Address - Street 2:
Practice Address - City:CONOVER
Practice Address - State:NC
Practice Address - Zip Code:28613-8249
Practice Address - Country:US
Practice Address - Phone:828-261-0467
Practice Address - Fax:828-267-0599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-11
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC39278207LP2900X
207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0274MOtherBCBS OF NC
NC690274MMedicaid
NC690274MMedicaid