Organization
COMMONWEALTH PAIN ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CARNES LEWIS MD (MANAGING PARTNER)
(502) 855-3919
Entity
Organization
Contact information
Practice address
5435 PEARL DR STE 4B, EVANSVILLE, IN 47712-8103
(812) 476-7111
(812) 476-7117
Mailing address
223 EXECUTIVE PARK, LOUISVILLE, KY 40207-4202
(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
—
300050981
—
IN
Enumeration date
08/31/2021
Last updated
08/31/2021
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