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NPI Code Detail

MEDICARE: BRIAN T PAQUETTE DO

MEDICARE: BRIAN T PAQUETTE DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208VP0014XInterventional Pain Medicine Physician02003374AIN
22084N0400XNeurology Physician02003374AIN

General Provider Information

NPI Number : 1952370397
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN T PAQUETTE DO
Provider Business Mailing Address
First Line : 201 PENNSYLVANIA PKWY
Second Line : STE 200
City : INDIANAPOLIS
State : IN
Zip : 46280-1393
Country : US
Telephone Number : 317-805-5500
Fax Number :
Provider Business Practice Location Address
First Line : 201 PENNSYLVANIA PKWY
Second Line : STE 200
City : INDIANAPOLIS
State : IN
Zip : 46280-1393
Country : US
Telephone Number : 317-805-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 10/22/2019

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Directions to “ BRIAN T PAQUETTE DO” Practice Location

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