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Contact Information

CROSSROADS MEDICAL CORPORATION
403 W 81ST AVE
MERRILLVILLE, IN46410-5317
 Phone: 219-756-6600
 Fax: 219-756-6602
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CROSSROADS MEDICAL CORPORATION · (Female)

NPI Number 1801123583
Status Active
Credentials
Entity Individual
Enumeration date 11/17/2009
Last updated 11/17/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
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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