Indiana Interventional Pain, Llc
LBN: Indiana Interventional Pain, Llc
Indiana Interventional Pain, Llc is an health care organization with primary practice located at 5445 E 16Th St , Indianapolis IN 46218-4869. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty.
Indiana Interventional Pain, Llc can be contacted via phone (317) 355-4358, or through Swofford, John B via phone (317) 567-2180.
Contact Information
Primary practice address
5445 E 16Th St
Indianapolis IN 46218-4869
Phone: (317) 355-4358
Fax: (317) 567-2191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | Indiana | |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | Indiana |
Profile Details
| NPI number | 1982648762 |
|---|---|
| LBN Legal business name | Indiana Interventional Pain, Llc |
| DBA Doing business as | |
| Authorized official | Swofford, John B Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Nov 25th, 2009 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982648762 | NPPES |
| Indiana | MEDICAID | 200530430 | |
| Indiana | Other | DE7729 | |
| Indiana | Other | 000000373172 |
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