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Contact Information

COMPREHENSIVE PAIN REHAB OF SOUTHERN INDIANA LLC
2920 MCINTIRE DRIVE
SUITE 150B
BLOOMINGTON, IN47403-4213
 Phone: 812-333-7246
 Fax: 812-333-4471
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for COMPREHENSIVE PAIN REHAB OF SOUTHERN INDIANA LLC

NPI Number 1578870879
LBN Legal business name COMPREHENSIVE PAIN REHAB OF SOUTHERN INDIANA LLC
Authorized official DERK FRASIER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/08/2010
Last updated 09/08/2010 - About 16 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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