| Oliver Headache And Pain Clinic | |
|
1101 Professional Blvd Evansville IN 47714-8016 | |
| (812) 477-7246 | |
| (812) 477-7240 |
| Full Name | Oliver Headache And Pain Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 1101 Professional Blvd, Evansville, Indiana |
| Authorized Official Name and Position | Randall Lee Oliver (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8124777246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oliver Headache And Pain Clinic Po Box 6810 Evansville IN 47719-0810 Ph: (812) 477-7246 | Oliver Headache And Pain Clinic 1101 Professional Blvd Evansville IN 47714-8016 Ph: (812) 477-7246 |
| NPI Number | 1922038249 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 03/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922038249 | NPI | - | NPPES |
| 000000089152 | Other | IN | ANTHEM FAMILY PRACTICE |
| 64872484 | Medicaid | KY | |
| 719364 | Other | IN | AFFORDABLE |
| 10643 | Other | IN | HEALTHSOURCE |
| 169425 | Other | IN | HEALTHLINK |
| 1006173 | Other | IN | CHAMPUS |
| 659100 | Other | IN | PRINCIPAL |
| 0000000386753 | Other | IN | ANTHEM PAIN MGMT |
| 100180970A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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