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Organization
INTERVENTIONAL PAIN CARE, LLC
Active
Organization
INTERVENTIONAL PAIN CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEAL E COLEMAN MD (PRESIDENT)
(765) 741-3111
Entity
Organization
Contact information
Practice address
5501 W BETHEL AVE, MUNCIE, IN 47304-8513
(765) 741-3111
(765) 747-3310
Mailing address
PO BOX 6069, DEPT 171, INDIANAPOLIS, IN 46206-6069
(317) 567-2180
(317) 567-2191
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200817850
—
IN
Enumeration date
05/05/2006
Last updated
10/27/2008
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