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Contact Information

INTERVENTIONAL PAIN SPECIALISTS OF BOWLING GREEN PLC
165 NATCHEZ TRACE AVE
SUITE 205
BOWLING GREEN, KY42103-7940
 Phone: 270-393-1912
 Fax: 270-393-1913
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for INTERVENTIONAL PAIN SPECIALISTS OF BOWLING GREEN PLC · (Female)

NPI # 1033356274
Status Active
Credentials
Entity Individual
Enumeration date 01/09/2009
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY Medicaid 7100063360
  • KY Medicaid 7100097740
  • KY Medicaid 7100152630
  • KY Other 7100062970 CRNA GROUP MCD NUMBER
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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