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GARY GETTELFINGER MD DABPM LLC NPI 1366987513


NPI Information

NPI: 1366987513
Provider Name: GARY GETTELFINGER MD DABPM LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
1619 N PRAIRIE GREEN CT
BLOOMINGTON, IN
ZIP 47408
Phone: (812) 353-2700
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GARY GETTELFINGER MD DABPM LLC is an interventional pain medicine pain medicine in Bloomington, IN. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. GARY GETTELFINGER MD DABPM LLC NPI is 1366987513. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1619 N PRAIRIE GREEN CT
BLOOMINGTON, IN
ZIP 47408-701
Phone: (812) 353-2700

The provider's authorized official is Gary Gettelfinger .
The authorized official title is President And Ceo and has the following contact phone number (219) 476-0352.

The enumeration date for this NPI number is 12/27/2016 and was last updated on 12/27/2016.


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
1208VP0014XPain MedicineInterventional Pain Medicine01036884INDIANAYes

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
1200039570MEDICAIDINDIANA
2547540KOTHERINDIANAMEDICARE PTAN

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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