Advanced Pain Management Of Elwood
Clinic/Center, Multi-Specialty in Elwood, IN. Organization (NPI-2).
NPI number1982240917
StatusActive
Last updated in NPPESJul 12, 2022
Details
- NPI
- 1982240917
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Pain Management Of Elwood
- Organization subpart
- No
- Enumeration date
- Nov 25, 2019
- Certification date
- Jul 12, 2022
- Last updated
- Jul 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 225100000X | Physical Therapist | – | – | |
| 291U00000X | Clinical Medical Laboratory | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 363L00000X | Nurse Practitioner | – | – | |
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – |
Practice location
7408 W State Road 28Elwood, IN 46036-8600
Phone 765-557-8569 · Fax 765-557-8635
Mailing address
7408 W State Road 28Elwood, IN 46036-8600
Phone 765-557-8569 · Fax 765-557-8635
Other practice locations
2976 N Scatterfield Rd Ste 111
Anderson, IN 46012-1586
Anderson, IN 46012-1586
Phone 765-557-8569
Authorized official
David Dunham
Owner
7655578569
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