Individual
DR. JOSEPH PHILLIP SPOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4320 FIR ST, SUITE 417, EAST CHICAGO, IN 46312-3052
(219) 397-8648
(219) 397-8653
Mailing address
9430 WICKER AVE, SAINT JOHN, IN 46373-9768
(219) 558-8068
(219) 558-8149
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
02001917A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000373304
ANTHEM
IN
05
—
0361058461
—
IL
05
—
200184170
—
IN
01
—
275934
WELLCARE
IN
01
—
6582857
CIGNA
IN
01
—
7538064
AETNA
IN
01
—
90001235
BCBS
IL
01
—
N275934
HARMONY
IN
01
—
POO222849
RR MEDICARE
IN
Enumeration date
02/21/2006
Last updated
01/24/2017
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