# NORTHEAST INDIANA PAIN SPECIALISTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376585695
- **Authorized official:** MRS. KARYN KOVACH (DIRECTOR OF BILLING)
- **Authorized official phone:** (419) 531-8808

## Contact information

- **Practice address:** 353 N OAK ST, COLUMBIA CITY, IN 46725-1623
- **Practice address phone:** (260) 248-9304
- **Mailing address:** 2914 S REPUBLIC BLVD, TOLEDO, OH 43615-1912
- **Mailing address phone:** (419) 531-8808
- **Mailing address fax:** (419) 531-8877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 06/18/2008