Organization
INDIANA PAIN AND SPINE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAN EVANOFF JR. M.D. (OWNER)
(317) 837-1999
Entity
Organization
Contact information
Practice address
1100 SOUTHFIELD DR, SUITE 1330, PLAINFIELD, IN 46168-4498
(317) 837-1999
(317) 837-0233
Mailing address
1100 SOUTHFIELD DR, SUITE 1330, PLAINFIELD, IN 46168-4498
(317) 837-1999
(317) 837-0233
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200496300A
—
IN
Enumeration date
11/16/2005
Last updated
10/08/2009
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