Wellspring Pain Solutions

LBN: Pain And Aging Management Llc
Wellspring Pain Solutions is an health care organization with primary practice located at 2400 Northpark Dr Ste 20 , Columbus IN 47203-4467. The organization recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Suppliers / Durable Medical Equipment & Medical Supplies, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Pain And Aging Management Llc can be contacted via phone (812) 376-0700, or through Schocket, Sandford Matthew via phone (512) 584-8404.

Contact Information

Primary practice address
2400 Northpark Dr Ste 20 Columbus IN 47203-4467
Phone: (812) 376-0700
Fax: (812) 376-8625
Website:
Map and Directions
Authorized official contact:
Name: Schocket, Sandford Matthew
Phone: (512) 584-8404

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1124100961
LBN Legal business name Pain And Aging Management Llc
DBA Doing business as Wellspring Pain Solutions
Authorized official Schocket, Sandford Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated May 17th, 2024 - about 4 months 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 1124100961 NPPES
Indiana MEDICAID 300058096
Indiana Other 000000366888
Indiana MEDICAID 300058095
Indiana MEDICAID 300058102
Indiana MEDICAID 201032950A
Indiana Other 226700
Indiana MEDICAID 300058106

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