Five Apples Inpatient Specialist Indiana Corporation | |
600 Grant St Gary IN 46402-6001 | |
(815) 937-7962 | |
(815) 936-8650 |
Full Name | Five Apples Inpatient Specialist Indiana Corporation |
---|---|
Speciality | Internal Medicine |
Location | 600 Grant St, Gary, Indiana |
Authorized Official Name and Position | Terrill Applewhte (OWNER/PHYSICIAN) |
Authorized Official Contact | 8159377962 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Five Apples Inpatient Specialist Indiana Corporation 400 N Wall St Suite 308 Kankakee IL 60901-2940 Ph: (815) 937-7962 | Five Apples Inpatient Specialist Indiana Corporation 600 Grant St Gary IN 46402-6001 Ph: (815) 937-7962 |
NPI Number | 1316179625 |
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Provider Enumeration Date | 08/20/2009 |
Last Update Date | 08/20/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316179625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01067111A (Indiana) | Primary |
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