MEDICARE: AMERICAN PAIN RELIEF INSTITUTE PROF LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician		IA
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician		SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	42726	OTHER	IA	BLUE CROSS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	4997522	OTHER	SD	BLUE CROSS

General Provider Information

NPI Number	:	1396851655
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN PAIN RELIEF INSTITUTE PROF LLC

Provider Business Mailing Address
First Line	:	1719 BROADWAY AVE
Second Line	:	STE F
City	:	YANKTON
State	:	SD
Zip	:	57078-3700
Country	:	US
Telephone Number	:	605-668-8683
Fax Number	:	605-665-3755

Provider Business Practice Location Address
First Line	:	1719 BROADWAY AVE STE F
Second Line	:
City	:	YANKTON
State	:	SD
Zip	:	57078-3700
Country	:	US
Telephone Number	:	605-668-8683
Fax Number	:	605-665-3755

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. WILLIAM E COHEN
Credential	:	MD
Telephone Number	:	605-668-8683

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	04/20/2008

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Directions to “AMERICAN PAIN RELIEF INSTITUTE PROF LLC ” Practice Location

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