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Contact Information

INSTITUTE OF COMPREHENSIVE PAIN MANAGEMENT, LLC
30 SOUTH EMERSON AVENUE
GREENWOOD, IN46143
 Phone: 317-802-6317
 Fax: 317-870-0499
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for INSTITUTE OF COMPREHENSIVE PAIN MANAGEMENT, LLC

NPI Number 1104932185
LBN Legal business name INSTITUTE OF COMPREHENSIVE PAIN MANAGEMENT, LLC
Authorized official JUDITH DUNIPACE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/22/2006
Last updated 08/31/2015 - About 11 years ago
Identifiers
IN License # 01040468
IN Medicaid 200833690
IN Other 000000493208 ANTHEM
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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