Organization
BASE MEDICAL SPA
Active
Parent organization
BASE SPA & WELLNESS
Organization subpart
Yes
Provider details
NPI number
Legal business name
BASE SPA & WELLNESS
Authorized official
BRANDI L ROBERTSON RN (OWNER)
(219) 644-6716
Entity
Organization
Contact information
Practice address
442 N CALUMET RD, CHESTERTON, IN 46304-2489
(219) 644-6716
Mailing address
442 N CALUMET RD, CHESTERTON, IN 46304-2489
(219) 644-6716
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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