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Contact Information

INDIANA PAIN AND SPINE CARE
1100 SOUTHFIELD DR
SUITE 1330
PLAINFIELD, IN46168-4498
 Phone: 317-837-1999
 Fax: 317-837-0233
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

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

NPI Profile & details for INDIANA PAIN AND SPINE CARE

NPI # 1568444586
LBN Legal business name INDIANA PAIN AND SPINE CARE
Authorized official VAN EVANOFF - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/16/2005
Last updated 10/08/2009 - About 17 years ago
Identifiers
IN Medicaid 200496300A
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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