Dr. Erin Vicari, Pc | |
166 S West St Crown Point IN 46307-3906 | |
(219) 577-5643 | |
Not Available |
Full Name | Dr. Erin Vicari, Pc |
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Speciality | Clinic/Center |
Location | 166 S West St, Crown Point, Indiana |
Authorized Official Name and Position | Erin Vicari (PHYSICIAN) |
Authorized Official Contact | 2195775643 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr. Erin Vicari, Pc 166 S West St Crown Point IN 46307-3906 Ph: (219) 577-5643 | Dr. Erin Vicari, Pc 166 S West St Crown Point IN 46307-3906 Ph: (219) 577-5643 |
NPI Number | 1770935355 |
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Provider Enumeration Date | 07/07/2016 |
Last Update Date | 07/07/2016 |
Medicare PECOS PAC ID | 2769776038 |
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Medicare Enrollment ID | O20160809002131 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770935355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Erin M Vicari |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134143019 PECOS PAC ID: 9739188715 Enrollment ID: I20061221000092 |
Provider Name | Angela M Vanderberg |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093019994 PECOS PAC ID: 0547441917 Enrollment ID: I20110218000567 |
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