NORTH INDY PAIN SOLUTIONS LLC NPI 1649758590

NPI Information

NPI: 1649758590
Provider Name: NORTH INDY PAIN SOLUTIONS LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
4715 STATESMEN DR
INDIANAPOLIS, IN
ZIP 46250
Phone: (480) 930-4018
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NORTH INDY PAIN SOLUTIONS LLC is an ambulatory surgical clinic center in Indianapolis, IN. NORTH INDY PAIN SOLUTIONS LLC NPI is 1649758590. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4715 STATESMEN DR
INDIANAPOLIS, IN
ZIP 46250-642
Phone: (480) 930-4018

The provider's authorized official is Jeremy Buckner .
The authorized official title is Owner and has the following contact phone number (480) 930-4018.

The enumeration date for this NPI number is 8/2/2018 and was last updated on 8/2/2018.

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	208600000X	Surgery				No
2	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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

NPI Synchronization or Removal

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