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Contact Information

JUSTIN P COLANESE, MD
12800 MISSISSIPPI PKWY STE A201
CROWN POINT, IN46307-6902
 Phone: 219-921-1444
 Fax: 219-921-5303
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JUSTIN P COLANESE · (Male)

NPI Number 1104115542
Status Active
Credentials MD
Entity Individual
Enumeration date 04/06/2011
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036143827
  • IN License # 01082195A
  • IN Medicaid 300029845
Hospital affiliation(s)
  • FRANCISCAN ST ANTHONY HEALTH - CROWN POINT - (Acute Care)
    1201 S MAIN ST
    CROWN POINT, IN 46307
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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