Organization
NORTHWEST INDIANA SPINAL SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIAN M SHEPHERD MD (PRESIDENT)
(219) 738-2255
Entity
Organization
Contact information
Practice address
9235 BROADWAY, MERRILLVILLE, IN 46410-7046
(219) 738-2255
(219) 738-2060
Mailing address
9235 BROADWAY, MERRILLVILLE, IN 46410-7046
(219) 738-2255
(219) 738-2060
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
01033705A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100195070A
—
IN
Enumeration date
09/07/2006
Last updated
06/19/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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