Organization
INDIANA SPINE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD LOVELESS (MANAGER)
(972) 310-0628
Entity
Organization
Contact information
Practice address
7400 N SHADELAND AVE STE 205, INDIANAPOLIS, IN 46250-2946
(972) 310-0628
Mailing address
7400 N SHADELAND AVE STE 205, INDIANAPOLIS, IN 46250-2946
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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