| Indiana Pain And Wellness Center Pc | |
|
1305 W 96th St Ste C Indianapolis IN 46260-1193 | |
| (317) 580-9867 | |
| Not Available |
| Full Name | Indiana Pain And Wellness Center Pc |
|---|---|
| Speciality | General Practice |
| Location | 1305 W 96th St Ste C, Indianapolis, Indiana |
| Authorized Official Name and Position | Mary Jo Johnson (OWNER) |
| Authorized Official Contact | 3175809867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana Pain And Wellness Center Pc 1305 W 96th St Ste C Indianapolis IN 46260-1193 Ph: (317) 580-9867 | Indiana Pain And Wellness Center Pc 1305 W 96th St Ste C Indianapolis IN 46260-1193 Ph: (317) 580-9867 |
| NPI Number | 1417630336 |
|---|---|
| Provider Enumeration Date | 08/08/2023 |
| Last Update Date | 08/08/2023 |
| Medicare PECOS PAC ID | 7012361645 |
|---|---|
| Medicare Enrollment ID | O20230929001944 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417630336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Mary Jo Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851383491 PECOS PAC ID: 9739270661 Enrollment ID: I20070808000147 |
| Provider Name | Travis W Morrison |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306373212 PECOS PAC ID: 2466788823 Enrollment ID: I20190724001114 |
| Provider Name | Steven R Avitabile |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396727251 PECOS PAC ID: 4789767740 Enrollment ID: I20230316002711 |
| Provider Name | Audrey Carolyn Avitabile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417086117 PECOS PAC ID: 5092813071 Enrollment ID: I20230320000692 |
| Provider Name | Alexis Brumfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467963348 PECOS PAC ID: 4981961919 Enrollment ID: I20240130001603 |
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