Individual
AMY C BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 S LAKE PARK AVE, SUITE 400, HOBART, IN 46342-6790
(219) 942-6166
(219) 942-4106
Mailing address
1400 S LAKE PARK AVE, SUITE 400, HOBART, IN 46342-6790
(219) 942-6166
(219) 942-4106
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01053920A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100214720
—
IN
01
—
CE1449
RAILROAD MEDICARE
—
Enumeration date
11/14/2005
Last updated
07/06/2017
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