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Contact Information

COMPREHENSIVE PAIN REHAB OF SOUTHERN INDIANA LLC
2920 MCINTIRE DRIVE
SUITE 150B
BLOOMINGTON, IN47403-4213
 Phone: 812-333-7246
 Fax: 812-333-4471
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for COMPREHENSIVE PAIN REHAB OF SOUTHERN INDIANA LLC · (Female)

NPI Number 1578870879
Status Active
Credentials
Entity Individual
Enumeration date 09/08/2010
Last updated 09/08/2010 - About 16 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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