COMPREHENSIVE SPINE CARE NPI 1639164700

NPI Information

NPI: 1639164700
Provider Name: COMPREHENSIVE SPINE CARE
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2499 W COTA DR
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 337-0210
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COMPREHENSIVE SPINE CARE is a multi-specialty clinic center in Bloomington, IN. COMPREHENSIVE SPINE CARE NPI is 1639164700. The provider is registered as an organization entity type.

The provider's business location address is:

2499 W COTA DR
BLOOMINGTON, IN
ZIP 47403-217
Phone: (812) 337-0210
Fax: (812) 337-0211

The provider's authorized official is Kamal Kumar Tiwari .
The authorized official title is President/owner and has the following contact phone number (812) 333-7246.

The enumeration date for this NPI number is 9/15/2005 and was last updated on 11/14/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	50004448A	INDIANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	198780	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	PSYCHOLOGISTS
2	198720	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	PT'S
3	197850	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	PHYSICIANS

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: 11/14/2023

NPI Synchronization or Removal

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