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Contact Information

INTERVENTIONAL PAIN SPECIALISTS OF BOWLING GREEN, PLC
1216 N RACE ST
GLASGOW, KY42141-3462
 Phone: 270-651-7246
 Fax: 270-282-2027
 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

NPI # 1306221841
LBN Legal business name INTERVENTIONAL PAIN SPECIALISTS OF BOWLING GREEN, PLC
Authorized official ROBERT NORMAN - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/27/2015
Last updated 06/24/2022 - About 4 years ago
Identifiers
KY Medicaid 7100063360
KY Medicaid 7100097740
KY Medicaid 7100152630
KY Other 7100062970 CRNA GROUP MEDICAID NUMBER
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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