| NPI | 1942378112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA HUNTER Credentialing Manager 812-477-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IN 01055762A) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IN 34004175A) |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: IN 01055782A) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: IN 01039387A) | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: IN 1062077A) | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: IN 01066166A) | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: IN 01036700A) | |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IN 01038163A) | |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IN 01029835A) | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant Medical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2015-03-19 |