COMMONWEALTH PAIN ASSOCIATES PLLC NPI 1619336435

NPI Information

COMMONWEALTH PAIN ASSOCIATES PLLC 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. COMMONWEALTH PAIN ASSOCIATES PLLC NPI is 1619336435. The provider is registered as an organization entity type.

The provider's business location address is:

700 KIMBER LANE
EVANSVILLE, IN
ZIP 47715
Phone: (812) 476-7111
Fax: (812) 476-7117

The provider's authorized official is Jason Lewis .
The authorized official title is Owner and has the following contact phone number (502) 855-7200.

The CLIA number assigned to this NPI record is 18D2131158 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2016 and was last updated on 6/3/2022.

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

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

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