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Dr. Van Evanoff JR., MD
Interventional Pain Medicine Physician in Sullivan, Indiana
NPI 1851394175

Van Evanoff JR. is a Interventional Pain Medicine Physician based in Sullivan, IN and is specialized in Interventional Pain Medicine. Van Evanoff JR. practices in Sullivan, IN and has the professional credentials of MD. The NPI Number for Van Evanoff JR. is 1851394175 and holds a License No. 01053652A (Indiana).

The current practice location address for Van Evanoff JR. is 2204 N Section St, Sullivan, IN and can be reached out via phone at 812-268-2556 and via fax at 812-268-2652.

Location: 2204 N Section St, Sullivan, IN, 47882-0010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851394175
Provider Name
Van Evanoff JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2204 N Section St, Sullivan, IN, 47882-0010
Phone Number
812-268-2556
Fax Number
812-268-2652
Provider Enumeration Date
05/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000338733 01 IN BLUE CROSS & BLUE SHIELD
200262220 05 IN
P01625340 01 IN RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2204 N Section St
City
Sullivan
State
Indiana
Zip
47882-0010
Phone Number
812-268-2556
Fax Number
812-268-2652
person
Provider Business Mailing Address Details
Address
2204 N Section St
City
Sullivan
State
Indiana
Zip
47882-0010
Phone Number
812-268-2556
Fax Number
812-268-2652
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
208VP0014X
License No.
01053652A (Indiana)
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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