Provider Demographics
NPI:1790034049
Name:PM&R ASSOCIATES, INC
Entity Type:Organization
Organization Name:PM&R ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:KIM
Authorized Official - Last Name:SILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-290-2000
Mailing Address - Street 1:6640 PARKDALE PL
Mailing Address - Street 2:SUITE R
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-5619
Mailing Address - Country:US
Mailing Address - Phone:317-290-2000
Mailing Address - Fax:
Practice Address - Street 1:6640 PARKDALE PL
Practice Address - Street 2:SUITE R
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-5619
Practice Address - Country:US
Practice Address - Phone:317-290-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-31
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28147610A261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain