Interventional Pain Consultants, Llc

LBN: Interventional Pain Consultants, Llc
Interventional Pain Consultants, Llc is an health care organization with primary practice located at 608 Union Chapel Rd , Fort Wayne IN 46845-9357. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as the primary health care specialty. Interventional Pain Consultants, Llc can be contacted via phone (260) 387-0450, or through Nolan, Daniel via phone (260) 579-1601.

Contact Information

Primary practice address
608 Union Chapel Rd Fort Wayne IN 46845-9357
Phone: (260) 387-0450
Fax: (260) 387-0440
Website:
Map and Directions
Authorized official contact:
Name: Nolan, Daniel Doctor of Medicine (MD)
Phone: (260) 579-1601

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1164661054
LBN Legal business name Interventional Pain Consultants, Llc
DBA Doing business as
Authorized official Nolan, Daniel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2009
Last updated Sep 16th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164661054 NPPES
Indiana MEDICAID 200931200

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