Organization
PATRICK J. SHEETS, M.D., INC.
Active
Other names
Patrick J. Sheets, M.D., P.C
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HANAAN R. ANSARI (PRESIDENT)
(219) 796-4120
Entity
Organization
Contact information
Practice address
9301 CONNECTICUT DRIVE, CROWN POINT, IN 46307
(219) 756-2100
(219) 756-0423
Mailing address
9301 CONNECTICUT DRIVE, CROWN POINT, IN 46307-1459
(219) 756-2100
(219) 756-0423
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01054176A
IN
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200502790A
—
IN
01
—
DC6351
RAILROAD MEDICARE
IN
Enumeration date
07/13/2007
Last updated
10/02/2014
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