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CROSSROADS MEDICAL CORPORATION NPI 1801123583


NPI Information

NPI: 1801123583
Provider Name: CROSSROADS MEDICAL CORPORATION
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
403 W 81ST AVE
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 756-6600
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CROSSROADS MEDICAL CORPORATION is a pain medicine physical medicine rehabilitation in Merrillville, IN. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. CROSSROADS MEDICAL CORPORATION NPI is 1801123583. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

403 W 81ST AVE
MERRILLVILLE, IN
ZIP 46410-317
Phone: (219) 756-6600
Fax: (219) 756-6602

The provider's authorized official is Martine S Bergeron .
The authorized official title is President and has the following contact phone number (219) 756-6600.

The enumeration date for this NPI number is 11/17/2009 and was last updated on 11/17/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
22081P2900XPhysical Medicine & RehabilitationPain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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