Pain Management Care Pc

NPI 1073665584 - Specialist - 174400000X

NPI Details
NPI 1073665584
Enumeration Date 01/17/2007
Last Updated 11/18/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOSEPH G JOSEPH
Position OWNER
Phone (574) 247-4682
Fax (574) 247-4685
Practice Location
2106 IRONWOOD CIR
SOUTH BEND IN, 46635-1864, US
Phone (574) 247-4682
Fax (574) 247-4685
Business Location
2106 IRONWOOD CIR
SOUTH BEND IN, 46635-1864, US
Phone (574) 247-4682
Fax (574) 247-4685
Toxanomy
Taxonomy Code 174400000X
License State Indiana
License Number 01024859B
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According to our database, Pain Management Care Pc NPI is 1073665584, taxonomy code is 174400000X and license number is 01024859B, license state is located at Indiana. Pain Management Care Pc physically located at 2106 Ironwood Cir, South Bend IN, 46635-1864. NPI Number 1033115704 has the healthcare provider type.

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1073665584 NPI number is provided on an as is basis without warranty of any kind. 1073665584 is maintained by the National Plan & Provider Enumeration System. The contents of Pain Management Care Pc are for informational purposes only.