Organization
PAIN MANAGEMENT ASSOCIATES, P.C.
Active
Other names
Integrated Chiropractic Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN THOMAS POWELL D.C. (PRESIDENT)
(219) 738-1925
Entity
Organization
Contact information
Practice address
8500 BROADWAY, SUITE A, MERRILLVILLE, IN 46410-7055
(219) 738-1925
(219) 736-9456
Mailing address
8500 BROADWAY, SUITE A, MERRILLVILLE, IN 46410-7055
(219) 738-1925
(219) 736-9456
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001920A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093263
BLUE CROSS BLUE SHIELD
IN
Enumeration date
08/05/2007
Last updated
08/05/2007
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