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PHYSICAL MEDICINE AND REHABILITATION NPI 1467907907


NPI Information

NPI: 1467907907
Provider Name: PHYSICAL MEDICINE AND REHABILITATION

Doing Business As: MEDICAL PAIN CLINIC

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
1146 WASHINGTON SQ
EVANSVILLE, IN
ZIP 47715
Phone: (812) 426-2662
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PHYSICAL MEDICINE AND REHABILITATION is a pain clinic center in Evansville, IN. PHYSICAL MEDICINE AND REHABILITATION NPI is 1467907907. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Pain Clinic.

The provider's business location address is:

1146 WASHINGTON SQ
EVANSVILLE, IN
ZIP 47715-809
Phone: (812) 426-2662
Fax: (812) 426-3141

The provider's authorized official is David William Johnson .
The authorized official title is Owner and has the following contact phone number (812) 425-2662.

The enumeration date for this NPI number is 8/24/2016 and was last updated on 8/24/2016.


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
1261QP3300XClinic/CenterPain01035716AINDIANAYes

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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