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KOCHERT PAIN INSTITUTE LLC NPI 1639325954


NPI Information

NPI: 1639325954
Provider Name: KOCHERT PAIN INSTITUTE, LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 15D1014028

Address:
1345 UNITY PL
SUITE 225
LAFAYETTE, IN
ZIP 47905
Phone: (765) 446-5055
Get Directions

KOCHERT PAIN INSTITUTE, LLC is an interventional pain medicine pain medicine in Lafayette, 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. KOCHERT PAIN INSTITUTE, LLC NPI is 1639325954. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1345 UNITY PL
SUITE 225
LAFAYETTE, IN
ZIP 47905-760
Phone: (765) 446-5055
Fax: (765) 446-5057

The provider's authorized official is Carolyn G. Kochert .
The authorized official title is Physician and has the following contact phone number (765) 446-5055.

The CLIA number assigned to this NPI record is 15D1014028 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2008 and was last updated on 7/20/2009.


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 MedicineIN01031275AINDIANAYes

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
1000000585032OTHERINDIANAAPIN
2D07400MEDICARE PININDIANA
3000000585032OTHERINDIANAANTHEM PIN
4258160MEDICARE PININDIANA

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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