NPI | 1306280177 |
---|---|
Doing Business As | COMMONWEALTH PAIN AND SPINE |
Entity Type | Organization |
Authorized Contact | JASON LEWIS President 502-855-7200 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 207L00000X Anesthesiology |
207LP2900X Anesthesiology, Pain Medicine | |
208VP0000X Pain Medicine, Pain Medicine | |
225100000X Physical Therapist | |
332B00000X Durable Medical Equipment & Medical Supplies | |
363A00000X Physician Assistant | |
363AM0700X Physician Assistant, Medical | |
363L00000X Nurse Practitioner | |
363LA2200X Nurse Practitioner, Adult Health | |
363LF0000X Nurse Practitioner, Family | |
367500000X Nurse Anesthetist, Certified Registered | |
Enumeration Date | 2013-04-24 |
Last Update Date | 2024-11-12 |