Organization
NORTH INDY PAIN SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY BUCKNER DC (OWNER)
(480) 930-4018
Entity
Organization
Contact information
Practice address
4715 STATESMEN DR, INDIANAPOLIS, IN 46250-5642
(480) 930-4018
Mailing address
4715 STATESMEN DR, INDIANAPOLIS, IN 46250-5642
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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