Provider Demographics
NPI:1528326733
Name:PAIN & SPINE SPECIALISTS OF CONNECTICUT LLC
Entity type:Organization
Organization Name:PAIN & SPINE SPECIALISTS OF CONNECTICUT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RCM SR. DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:FINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-243-9490
Mailing Address - Street 1:4960 SW 72ND AVE STE 405
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-5506
Mailing Address - Country:US
Mailing Address - Phone:469-458-9222
Mailing Address - Fax:540-918-7202
Practice Address - Street 1:11 SOUTH RD
Practice Address - Street 2:250
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-2483
Practice Address - Country:US
Practice Address - Phone:860-674-0222
Practice Address - Fax:860-674-0024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-25
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6472130004OtherPTAN