Individual
DR. MELISSA SUE CAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
245 W JOHNSON RD STE 7, LA PORTE, IN 46350-2026
(219) 262-0037
(678) 487-5329
Mailing address
245 W JOHNSON RD STE 7, LA PORTE, IN 46350-2026
(219) 262-0037
(678) 487-5329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01064530A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000610100
BCBS MED PT IRELAND RD
IN
01
—
000000611461
BCBS BMG LAPORTE
IN
01
—
000001038705
ANTHEM
IN
05
—
200908150
—
IN
01
—
P00752259
RR MEDICARE
IN
Enumeration date
06/01/2007
Last updated
03/01/2024
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