Organization
COMMONWEALTH PAIN ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON LEWIS MD (OWNER)
(502) 855-7200
Entity
Organization
Contact information
Practice address
700 KIMBER LANE, EVANSVILLE, IN 47715
(812) 476-7111
(812) 476-7117
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201287400B
—
IN
01
—
IN2373
PTAN
IN
Enumeration date
02/22/2016
Last updated
06/03/2022
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