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Contact Information

CENTER FOR SPINE AND SPORTS MEDICINE LLC
7145 E VIRGINIA ST
EVANSVILLE, IN47715-9144
 Phone: 812-476-7111
 Fax: 812-476-7117
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for CENTER FOR SPINE AND SPORTS MEDICINE LLC · (Female)

NPI Number 1801918024
Status Active
Credentials
Entity Individual
Enumeration date 04/06/2007
Last updated 01/13/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 01040195A
  • IN License # 01068416A
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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