LAKESHORE INTERVENTIONAL PAIN ASSOCIATES, LLC – NPI #1386823540
Specialist

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 is a specialist located in MICHIGAN CITY, IN. NPPES has assigned the NPI number 1386823540 to LAKESHORE INTERVENTIONAL PAIN ASSOCIATES, LLC on October 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 174400000X from the Health Care Provider Taxonomy code set, which is classified as Specialist.

The NPI profile was previously updated about 17 years ago on May 05, 2009. See the complete NPI profile for LAKESHORE INTERVENTIONAL PAIN ASSOCIATES, LLC below.

NPI Profile for
LAKESHORE INTERVENTIONAL PAIN ASSOCIATES, LLC

NPI Number
1386823540
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKESHORE INTERVENTIONAL PAIN ASSOCIATES, LLC
Primary location
1507 WABASH ST
SUITE 400C
MICHIGAN CITY, IN 46360-4300
Phone: (219) 871-0833 Fax: (219) 871-0836
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAMIL AHMED
OWNER
Phone: (219) 871-0833
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
174400000X
- Specialist (Primary)
IN 01057031A
251B00000X
- Case Management
01057031A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.