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PAIN MANAGEMENT ASSOCIATES P.C. NPI 1104017367


NPI Information

NPI: 1104017367
Provider Name: PAIN MANAGEMENT ASSOCIATES, P.C.

Doing Business As: INTEGRATED CHIROPRACTIC REHABILITATION

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
8500 BROADWAY
SUITE A
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 738-1925
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PAIN MANAGEMENT ASSOCIATES, P.C. is a chiropractor in Merrillville, IN. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. PAIN MANAGEMENT ASSOCIATES, P.C. NPI is 1104017367. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Integrated Chiropractic Rehabilitation.

The provider's business location address is:

8500 BROADWAY
SUITE A
MERRILLVILLE, IN
ZIP 46410-055
Phone: (219) 738-1925
Fax: (219) 736-9456

The provider's authorized official is Lynn Thomas Powell .
The authorized official title is President and has the following contact phone number (219) 738-1925.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 8/5/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor08001920AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1091410AMEDICARE PININDIANA
2U66428MEDICARE UPININDIANA
3000000093263OTHERINDIANABLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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