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Organization
INTERVENTIONAL PAIN SPECIALISTS OF BOWLING GREEN PLC
Active
Organization
INTERVENTIONAL PAIN SPECIALISTS OF BOWLING GREEN PLC
Active
Other names
Interventional Pain Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT NORMAN CRNA (OWNER)
(270) 745-7246
Entity
Organization
Contact information
Practice address
825 2ND AVE, SUITE C6, BOWLING GREEN, KY 42101-1786
(270) 282-2024
(270) 282-2027
Mailing address
PO BOX 2675, BOWLING GREEN, KY 42102-7675
(270) 745-7246
(270) 282-2027
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
02/22/2016
Last updated
10/30/2023
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