# OMNISPINE LLC

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

## Provider details

- **NPI number:** 1609144211
- **Authorized official:** DR. KIRNJOT SINGH MD (PRESIDENT)
- **Authorized official phone:** (888) 339-7339

## Contact information

- **Practice address:** 10996 FOUR SEASONS PL, SUITE 100A, CROWN POINT, IN 46307-8684
- **Practice address phone:** (888) 339-7339
- **Mailing address:** 10996 FOUR SEASONS PL, SUITE 100A, CROWN POINT, IN 46307-8684
- **Mailing address phone:** (888) 339-7339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |

## Other

- **Enumeration date:** 12/09/2011
- **Last updated:** 12/09/2011