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Contact Information

CRISOSTOMO J CARLOS, MD
801 MACARTHUR BLVD
SUITE 305
MUNSTER, IN46321-2915
 Phone: 219-703-2401
 Fax: 219-703-6687
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CRISOSTOMO J CARLOS · (Male)

NPI # 1790700573
Status Active
Credentials MD
Entity Individual
Enumeration date 07/13/2006
Last updated 01/10/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01026571A
  • IN Medicaid 100349730
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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