Organization
JCB ANESTHESIA & PAIN MANAGEMENT, PC
Active
Other names
Comprehensive Pain Clinic and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE YIA-PEI CHAO MD (PRESIDENT)
(260) 312-2489
Entity
Organization
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 523-3103
Mailing address
PO BOX 700908, DALLAS, TX 75370-0908
(972) 212-5858
(214) 291-5635
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
50003982A
IN
208VP0000X
Pain Medicine Physician
Primary
50003982A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100376480B
—
IN
05
—
201012780A
—
IN
01
—
DR2350
RAILROAD MEDICARE
IN
Enumeration date
08/01/2006
Last updated
09/30/2022
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