# INTERVENTIONAL PAIN CARE, LLC

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

## Provider details

- **NPI number:** 1649228362
- **Authorized official:** NEAL E COLEMAN MD (PRESIDENT)
- **Authorized official phone:** (765) 741-3111

## Contact information

- **Practice address:** 5501 W BETHEL AVE, MUNCIE, IN 47304-8513
- **Practice address phone:** (765) 741-3111
- **Practice address fax:** (765) 747-3310
- **Mailing address:** PO BOX 6069, DEPT 171, INDIANAPOLIS, IN 46206-6069
- **Mailing address phone:** (317) 567-2180
- **Mailing address fax:** (317) 567-2191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 10/27/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200817850 | — | IN |