Healthcare Provider Details

I. General information

NPI: 1528305554
Provider Name (Legal Business Name): PAIN ASSESSMENT INTERVENTION NEUROMUSCULAR CLINIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2013
Last Update Date: 05/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 PERKIOMEN AVE
READING PA
19606-2268
US

IV. Provider business mailing address

2800 PERKIOMEN AVE SUITE B
READING PA
19606-2268
US

V. Phone/Fax

Practice location:
  • Phone: 610-779-9292
  • Fax: 610-779-5459
Mailing address:
  • Phone: 610-779-9292
  • Fax: 610-779-5459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberMD057525L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberMD057525-L
License Number StatePA

VIII. Authorized Official

Name: DR. HAROLD EINSIG
Title or Position: OWNER
Credential: MD
Phone: 610-779-9292