Organization
RESPIRATORY SLEEP ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRIA BERRETTONI (BILLING/CREDENTIALING SUPERVISOR)
(219) 662-3931
Entity
Organization
Contact information
Practice address
7550 HOHMAN AVE, SUITE 600, MUNSTER, IN 46321-1060
(219) 836-2449
(219) 836-2953
Mailing address
PO BOX 1104, CROWN POINT, IN 46308-1104
(219) 836-2449
(219) 836-2953
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01047404A
IN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
01047404A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000544214
BLUE CROSS BLUE SHIELD
IN
01
—
0090001354
BCBS IL
IL
01
—
200893750A
MEDICAID GROUP ID
IN
01
—
DH0026
MEDICARE RAILROAD
IN
Enumeration date
11/21/2007
Last updated
08/01/2017
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