Organization
PAIN MED
Active
Other names
Community Hospitals of IN, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS P FISCHER C.P.A. (CHIEF FINANCIAL OFFICER)
(317) 355-4887
Entity
Organization
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 355-2223
(317) 355-2205
Mailing address
PO BOX 19751, INDIANAPOLIS, IN 46219-0751
(317) 355-2223
(317) 355-2205
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA6165
RAILROAD MEDICARE
IN
Enumeration date
10/25/2006
Last updated
08/22/2020
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