Provider Demographics
NPI:1992097885
Name:ATK PAIN SOLUTIONS
Entity type:Organization
Organization Name:ATK PAIN SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:KREITEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-889-7243
Mailing Address - Street 1:2700 W 3RD ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57104-6216
Mailing Address - Country:US
Mailing Address - Phone:605-274-7402
Mailing Address - Fax:
Practice Address - Street 1:2700 W 3RD ST
Practice Address - Street 2:SUITE 102
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57104-6216
Practice Address - Country:US
Practice Address - Phone:605-274-7402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-10
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies