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ADVANCED PAIN CARE CLINIC PSC
Interventional Pain Medicine

NPI Profile for ADVANCED PAIN CARE CLINIC PSC in EVANSVILLE, IN.

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Contact Information

ADVANCED PAIN CARE CLINIC PSC
1101 PROFESSIONAL BLVD
EVANSVILLE, IN  47714-8001
 Phone: 812-477-7246
 Fax: 812-477-7240
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

 208VP0014X 09 Physician/Interventional Pain Management
 

Clinical

 1041C0700X 80 Licensed Clinical Social Worker
 

Medical

 363AM0700X 97 Physician Assistant
 

Nurse Practitioner

 363L00000X 50 Nurse Practitioner
 

Pain Medicine

 2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Physician Assistant

 363A00000X 97 Physician Assistant
 

Sleep Medicine

 207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ADVANCED PAIN CARE CLINIC PSC · (Female)

NPI Number 1942378112
Status Active
Credentials
Entity Individual
Enumeration date 12/04/2006
Last updated 10/10/2025 - About 8 months ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 01029835A
  • IN License # 01036700A
  • IN License # 01038163A
  • IN License # 01039387A
  • IN License # 01055762A
  • IN License # 01055782A
  • IN License # 01066166A
  • IN License # 1062077A
  • IN License # 34004175A
  • IN Medicaid 200497580A
  • KY Medicaid 65942427
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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