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Contact Information

INTERVENTIONAL SPINE AND JOINT SPECIALISTS, LLC
701 SUPERIOR AVE STE B
MUNSTER, IN46321-4038
 Phone: 219-333-4757
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Electrodiagnostic Medicine

204R00000X
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for INTERVENTIONAL SPINE AND JOINT SPECIALISTS LLC · (Female)

NPI Number 1104387521
Status Active
Credentials
Entity Individual
Enumeration date 03/28/2019
Last updated 12/09/2020 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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