Provider Demographics
NPI:1821035718
Name:NEUROCARE LLC
Entity Type:Organization
Organization Name:NEUROCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GUST
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:SPENOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-705-2000
Mailing Address - Street 1:30 W RAMPART ST STE 230
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46176-8897
Mailing Address - Country:US
Mailing Address - Phone:317-705-2000
Mailing Address - Fax:317-705-2049
Practice Address - Street 1:2451 INTELLIPLEX DR STE 250
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:IN
Practice Address - Zip Code:46176-8581
Practice Address - Country:US
Practice Address - Phone:317-705-2000
Practice Address - Fax:317-705-2049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty