NPI | 1184110231 |
---|---|
Other Name | VITALITY PAIN CARE |
Entity Type | Organization |
Authorized Contact | TAMIA FISHER Authorized Official 812-962-7894 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
Additional Taxonomies | 207L00000X Anesthesiology |
207LP2900X Anesthesiology, Pain Medicine | |
208VP0014X Pain Medicine, Interventional Pain Medicine | |
332B00000X Durable Medical Equipment & Medical Supplies | |
363A00000X Physician Assistant | |
367H00000X Anesthesiologist Assistant | |
363AM0700X Physician Assistant, Medical | |
363L00000X Nurse Practitioner | |
367500000X Nurse Anesthetist, Certified Registered | |
Enumeration Date | 2018-07-02 |
Last Update Date | 2023-10-03 |