Organization
COMMONWEALTH PAIN ASSOCIATES, PLLC
Active
Other names
Commonwealth Pain & Spine
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CARNES LEWIS MD (OWNER)
(502) 855-7200
Entity
Organization
Contact information
Practice address
520 S 7TH ST # 159, VINCENNES, IN 47591-1038
(812) 316-0327
(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
—
201287400E
—
IN
Enumeration date
12/19/2017
Last updated
04/03/2023
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