| NPI | 1235395146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN LUSHINSKY Director 765-643-8781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01071236B) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08001691A) |
| 164W00000X Licensed Practical Nurse (Licence: IN 71002899B) | |
| 207L00000X Anesthesiology (Licence: IN 01071236B) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01071236B) | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208D00000X General Practice | |
| 225100000X Physical Therapist | |
| 246Q00000X Spec/Tech, Pathology | |
| 291U00000X Clinical Medical Laboratory | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2022-08-02 |