SPINE SPORTS AND PAIN MEDICINE PC NPI 1750516704

NPI Information

SPINE SPORTS AND PAIN MEDICINE, PC is a durable medical equipment medical supplies in Fort Wayne, 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. SPINE SPORTS AND PAIN MEDICINE, PC NPI is 1750516704. The provider is registered as an organization entity type.
The provider Is Doing Business As Doctors Medical Equipment.

The provider's business location address is:

7900 W JEFFERSON BLVD
SUITE 304
FORT WAYNE, IN
ZIP 46804-128
Phone: (260) 969-6200
Fax: (260) 969-6201

The provider's authorized official is Matthew Cavacini .
The authorized official title is Ceo and has the following contact phone number (260) 969-6200.

The enumeration date for this NPI number is 5/20/2009 and was last updated on 5/20/2009.

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:

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