National Provider Identifier Database

CEREBROCARE OF INDIANA LLC
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

CEREBROCARE OF INDIANA, LLC
130 PROFESSIONAL CT
LAFAYETTE, IN47905-5153
Phone: 219-588-8000
Fax:
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
Pain Medicine 208VP0000X

* Indicates primary specialty

NPI Profile & details for CEREBROCARE OF INDIANA, LLC

NPI Number 1659062099
Legal business name
LBN
CEREBROCARE OF INDIANA, LLC
Authorized official BRUCE BALLET - (EXECUTIVE VP)
Entity Organization
Organization subpart No
Enumeration date 05/17/2023
Last updated 08/11/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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