NPI Code Details Logo

NPI 1780478818

NPI 1780478818 : CORE HEALTH MANAGEMENT : EVANSVILLE, IN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1780478818
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CORE HEALTH MANAGEMENT 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/05/2025
-----------------------------------------------------
    Last Update Date     |    05/07/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    6114 E VIRGINIA ST STE A 
-----------------------------------------------------
    City                 |    EVANSVILLE
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    47715-2601
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    812-624-8088
-----------------------------------------------------
    Fax                  |    844-331-2800
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6114 E VIRGINIA ST STE A 
-----------------------------------------------------
    City                 |    EVANSVILLE
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    47715-2601
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    812-624-8088
-----------------------------------------------------
    Fax                  |    844-331-2800
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     HEATHER  WEDDING 
-----------------------------------------------------
    Credential           |    DC
-----------------------------------------------------
    Telephone            |    636-299-3357
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2081P2900X
-----------------------------------------------------
    Taxonomy Name        |    Pain Medicine (Physical Medicine & Rehabilitation) Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.