| NPI | 1952771974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LUSHINSKY Owner 317-385-7620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01071236A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08001691A) |
| 207L00000X Anesthesiology (Licence: IN 01071236A) | |
| 225100000X Physical Therapist (Licence: IN 05008752A) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363L00000X Nurse Practitioner (Licence: IN 28173385A) | |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2015-10-02 |