| Addison M Boardman, | |
|
4321 Fir St, East Chicago, IN 46312-3097 | |
| (219) 703-2460 | |
| Not Available |
| Full Name | Addison M Boardman |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 4321 Fir St, East Chicago, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447858527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (Indiana) | Primary |
| Provider Name | St Catherine Hospital Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396847596 PECOS PAC ID: 1052225604 Enrollment ID: O20031118000149 |
| Provider Name | St Mary Medical Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962504175 PECOS PAC ID: 2365424348 Enrollment ID: O20040603000490 |
| Provider Name | Munster Medical Research Foundation Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1982653044 PECOS PAC ID: 8123913183 Enrollment ID: O20040623000905 |
| Mailing Address | Practice Location Address |
|---|---|
| Addison M Boardman, 4321 Fir St, East Chicago, IN 46312-3097 Ph: () - | Addison M Boardman, 4321 Fir St, East Chicago, IN 46312-3097 Ph: (219) 703-2460 |
Christy M Moon, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4321 Fir Street, Suite 410, East Chicago, IN 46342 Phone: 219-392-7665 Fax: 219-392-7993 | |
Natalie Cowan, Audiologist Medicare: Medicare Enrolled Practice Location: 4321 Fir St, Audiology Department, East Chicago, IN 46312 Phone: 219-392-1700 |