INTERVENTIONAL PAIN & SPINE SPECIALISTS LLC NPI 1295370419

NPI Information

INTERVENTIONAL PAIN & SPINE SPECIALISTS LLC is a durable medical equipment medical supplies in Evansville, IN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. INTERVENTIONAL PAIN & SPINE SPECIALISTS LLC NPI is 1295370419. The provider is registered as an organization entity type.
The provider Is Doing Business As Vitality Pain Care.

The provider's business location address is:

7145 E VIRGINIA ST STE 1000
EVANSVILLE, IN
ZIP 47715-147
Phone: (812) 476-6166
Fax: (812) 476-6162

The provider's authorized official is Tamia Fisher .
The authorized official title is Credentialing Specialist and has the following contact phone number (812) 962-7894.

The CLIA number assigned to this NPI record is 15D2192364 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/12/2019 and was last updated on 11/2/2022.

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:

Other Identifiers

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