Provider Demographics
NPI:1366120289
Name:PAIN FREE AMERICA LLC
Entity type:Organization
Organization Name:PAIN FREE AMERICA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:P
Authorized Official - Last Name:KOCHIS
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:248-343-8487
Mailing Address - Street 1:155 STARK RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-3868
Mailing Address - Country:US
Mailing Address - Phone:248-343-8487
Mailing Address - Fax:
Practice Address - Street 1:642 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CLAWSON
Practice Address - State:MI
Practice Address - Zip Code:48017-2016
Practice Address - Country:US
Practice Address - Phone:248-343-8487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain