Sean A Chrystal, DO | |
5454 Hohman Ave, Hammond, IN 46320-1931 | |
(219) 933-2077 | |
(219) 864-2649 |
Full Name | Sean A Chrystal |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 5454 Hohman Ave, Hammond, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598968406 | NPI | - | NPPES |
036-117518 | Other | IL | LICENSE |
036117518 - CODE 4 | Medicaid | IN | |
200944290 | Medicaid | IN | |
02003500A | Other | IN | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 02003500A (Indiana) | Secondary |
207P00000X | Emergency Medicine | 02003500A (Indiana) | Primary |
207R00000X | Internal Medicine | 02003500A (Indiana) | Secondary |
Entity Name | App Of Indiana Ed, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740822212 PECOS PAC ID: 2961835400 Enrollment ID: O20191213001639 |
Mailing Address | Practice Location Address |
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Sean A Chrystal, DO Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Sean A Chrystal, DO 5454 Hohman Ave, Hammond, IN 46320-1931 Ph: (219) 933-2077 |
Cortney Sloan Palencia, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-932-2300 | |
Han Huang, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2077 | |
Eric T Cook, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2077 Fax: 219-864-2649 | |
John A Desalvo, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2077 Fax: 219-864-2649 | |
Joseph W Knight, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2077 Fax: 219-864-2649 | |
Lisa Ting Toerne, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2077 Fax: 219-864-2649 | |
Prakash C Rattan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2077 Fax: 219-864-2649 |