INTERVENTIONAL SPINE AND JOINT SPECIALISTS, LLC; NPI #1104387521

Contact Information

INTERVENTIONAL SPINE AND JOINT SPECIALISTS, LLC

701 SUPERIOR AVE STE B
MUNSTER, IN 46321-4038

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

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NPI Profile & details for INTERVENTIONAL SPINE AND JOINT SPECIALISTS, LLC

NPI Number	`1104387521`
LBN Legal business name	INTERVENTIONAL SPINE AND JOINT SPECIALISTS, LLC
Authorized official	PRASANTH NUTHAKKI - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/28/2019
Last updated	12/09/2020 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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