Individual
CHAD RICHARD CONTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, MSN
Contact information
Practice address
642 W HOSPITAL RD, PAOLI, IN 47454-9672
(812) 723-7453
(812) 723-7500
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28154687A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163460052
MEDICARE PTAN
IN
05
—
201222460
—
IN
01
—
940070007
MEDICARE PTAN
IN
Enumeration date
01/06/2014
Last updated
06/04/2024
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