| Patrick J. Sheets, M.d., Inc. | |
|
9301 Connecticut Drive Crown Point IN 46307 | |
| (219) 756-2100 | |
| (219) 756-0423 |
| Full Name | Patrick J. Sheets, M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 9301 Connecticut Drive, Crown Point, Indiana |
| Authorized Official Name and Position | Hanaan R. Ansari (PRESIDENT) |
| Authorized Official Contact | 2197964120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick J. Sheets, M.d., Inc. 9301 Connecticut Drive Crown Point IN 46307-1459 Ph: (219) 756-2100 | Patrick J. Sheets, M.d., Inc. 9301 Connecticut Drive Crown Point IN 46307 Ph: (219) 756-2100 |
| NPI Number | 1295934784 |
|---|---|
| Provider Enumeration Date | 07/13/2007 |
| Last Update Date | 10/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295934784 | NPI | - | NPPES |
| DC6351 | Other | IN | RAILROAD MEDICARE |
| 200502790A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207Q00000X | Family Medicine | 01054176A (Indiana) | Secondary |
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