1841568144 NPI number — OCCUPATIONAL AND PAIN MANAGEMENT PROFESSIONALS, INC.

Table of content: DR. SCOTT E. GOOD DC (NPI 1043234347)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841568144 NPI number — OCCUPATIONAL AND PAIN MANAGEMENT PROFESSIONALS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OCCUPATIONAL AND PAIN MANAGEMENT PROFESSIONALS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841568144
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/24/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1479A U.S. HIGHWAY 61
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FESTUS
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63028-4123
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
636-931-5533
Provider Business Mailing Address Fax Number:
636-931-5502

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1479A U.S. HIGHWAY 61
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FESTUS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63028-4123
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
636-931-5533
Provider Business Practice Location Address Fax Number:
636-931-5502
Provider Enumeration Date:
12/01/2011

Additional Information

Authorized Official

Authorized Official Last Name:
ANDERSON
Authorized Official First Name:
ANTHONY
Authorized Official Middle Name:
RHONE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
636-931-5533

Provider Taxonomy Codes

  • Taxonomy code: 207LP2900X , with the licence number:  R7H67 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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