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General NPI Number Information
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NPI Number | 1649058074
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Entity Type | Organization
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Legal Business Name | CENTERS FOR PAIN CONTROL INC.
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Dates
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Enumeration Date | 09/18/2023
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Last Update Date | 09/18/2023
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Provider Practice Location Address
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Address Line | 1912 45TH ST
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City | MUNSTER
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State | IN
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Zip | 46321-3917
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Country | US
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Telephone | 219-476-7246
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Fax | 855-615-5356
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Provider Business Mailing Address
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Address Line | 2500 CALUMET AVE STE E
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City | VALPARAISO
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State | IN
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Zip | 46383-3735
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Country | US
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Telephone | 219-476-7246
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Fax |
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Authorized Official
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Title or Position | CAO
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Name | UJWALA S PURANIK
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Credential |
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Telephone | 219-476-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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