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LAKESHORE INTERVENTIONAL PAIN ASSOCIATES LLC NPI 1386823540


NPI Information

NPI: 1386823540
Provider Name: LAKESHORE INTERVENTIONAL PAIN ASSOCIATES, LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1507 WABASH ST
SUITE 400C
MICHIGAN CITY, IN
ZIP 46360
Phone: (219) 871-0833
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LAKESHORE INTERVENTIONAL PAIN ASSOCIATES, LLC is a specialist in Michigan City, IN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LAKESHORE INTERVENTIONAL PAIN ASSOCIATES, LLC NPI is 1386823540. The provider is registered as an organization entity type.

The provider's business location address is:

1507 WABASH ST
SUITE 400C
MICHIGAN CITY, IN
ZIP 46360-300
Phone: (219) 871-0833
Fax: (219) 871-0836

The provider's authorized official is Jamil Ahmed .
The authorized official title is Owner and has the following contact phone number (219) 871-0833.

The enumeration date for this NPI number is 10/24/2007 and was last updated on 5/5/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251B00000XCase Management01057031ANo
2174400000XSpecialist01057031AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1232290MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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