Organization
ORTHOPAEDIC SPECIALISTS OF NORTHWEST INDIANA PC
Active
Organization
ORTHOPAEDIC SPECIALISTS OF NORTHWEST INDIANA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA HACKETT (BILLING LEAD)
(219) 934-2652
Entity
Organization
Contact information
Practice address
9900 COLUMBIA AVE, MUNSTER, IN 46321-4008
(219) 924-3300
Mailing address
PO BOX 3329, MUNSTER, IN 46321-0329
(219) 924-3300
(219) 934-2658
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000104771
ANTHEM GROUP
IN
01
—
129555400
US DEPT LABOR
—
05
—
200135850A
—
IN
01
—
90000692
BCIL
—
Enumeration date
08/30/2006
Last updated
02/12/2025
Update your record
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