Organization
ELITE INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAENETTE NAPIER (OFFICE MANAGER)
(219) 769-3550
Entity
Organization
Contact information
Practice address
1242 SURREY CT, CROWN POINT, IN 46307-5239
(219) 769-3550
(219) 769-2642
Mailing address
PO BOX 438, CROWN POINT, IN 46308-0438
(219) 769-3550
(219) 769-2642
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01034369A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200901600A
—
IN
Enumeration date
06/14/2008
Last updated
12/05/2012
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