Healthcare Provider Details

I. General information

NPI: 1184804403
Provider Name (Legal Business Name): PREMIER PAIN PHYSICIANS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2007
Last Update Date: 03/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL CENTER DR
FRANKLIN OH
45005-2584
US

IV. Provider business mailing address

3131 S DIXIE DR STE 421
MORAINE OH
45439-2223
US

V. Phone/Fax

Practice location:
  • Phone: 513-420-5755
  • Fax: 937-293-0969
Mailing address:
  • Phone: 937-297-6074
  • Fax: 937-293-0969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HOWARD A SEITZMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 937-478-3030