ADVANCED PAIN MANAGEMENT OF ELWOOD NPI 1982240917

NPI Information

NPI: 1982240917
Provider Name: ADVANCED PAIN MANAGEMENT OF ELWOOD
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 15D2055704

Address:
7408 W STATE ROAD 28
ELWOOD, IN
ZIP 46036
Phone: (765) 557-8569
Get Directions

ADVANCED PAIN MANAGEMENT OF ELWOOD is a multi-specialty clinic center in Elwood, IN. ADVANCED PAIN MANAGEMENT OF ELWOOD NPI is 1982240917. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7408 W STATE ROAD 28
ELWOOD, IN
ZIP 46036-600
Phone: (765) 557-8569
Fax: (765) 557-8635

The provider's authorized official is David Dunham .
The authorized official title is Owner and has the following contact phone number (765) 557-8569.

The CLIA number assigned to this NPI record is 15D2055704 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/25/2019 and was last updated on 7/12/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	208VP0014X	Pain Medicine	Interventional Pain Medicine	No
2	225100000X	Physical Therapist		No
3	291U00000X	Clinical Medical Laboratory		No
4	332B00000X	Durable Medical Equipment & Medical Supplies		No
5	363L00000X	Nurse Practitioner		No
6	261QM1300X	Clinic/Center	Multi-Specialty	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: 5/5/2024

NPI Synchronization or Removal

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