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 |
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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: 1851306690 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 |