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Organization
NORTHEAST INDIANA PAIN SPECIALISTS, LLC
Active
Organization
NORTHEAST INDIANA PAIN SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARYN KOVACH (DIRECTOR OF BILLING)
(419) 531-8808
Entity
Organization
Contact information
Practice address
353 N OAK ST, COLUMBIA CITY, IN 46725-1623
(260) 248-9304
Mailing address
2914 S REPUBLIC BLVD, TOLEDO, OH 43615-1912
(419) 531-8808
(419) 531-8877
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200491820A
—
IN
Enumeration date
06/12/2006
Last updated
06/18/2008
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