# INTERVENTIONAL SPINE AND PAIN, P.C.

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

## Provider details

- **NPI number:** 1467643304
- **Authorized official:** DR. JASVEER SINGH GREWAL M.D. (PRESIDENT)
- **Authorized official phone:** (574) 304-1519

## Contact information

- **Practice address:** 700 E BEARDSLEY AVE STE 4B, ELKHART, IN 46514-3303
- **Practice address phone:** (574) 304-1519
- **Practice address fax:** (574) 350-2441
- **Mailing address:** 700 E BEARDSLEY AVE STE 4B, ELKHART, IN 46514-3303
- **Mailing address phone:** (574) 304-1519
- **Mailing address fax:** (574) 350-2441

## Taxonomy

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

## Other

- **Enumeration date:** 08/06/2007
- **Last updated:** 02/07/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200866150A | — | IN |