Individual
ERIN VICARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
123 N COURT ST, CROWN POINT, IN 46307-3931
(219) 213-2320
(219) 663-4877
Mailing address
123 N COURT ST, CROWN POINT, IN 46307-3931
(219) 213-2320
(219) 663-7245
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01061783A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000992402
ANTHEM PIN
IN
01
—
IN2007008
MEDICARE PTAN
IN
Enumeration date
07/26/2006
Last updated
03/10/2021
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