Cd Egnatz Md Pc | |
1326 W Us Route 30 Schererville IN 46375 | |
(219) 865-2691 | |
(219) 322-5928 |
Full Name | Cd Egnatz Md Pc |
---|---|
Speciality | Family Medicine |
Location | 1326 W Us Route 30, Schererville, Indiana |
Authorized Official Name and Position | Charles Dyke Egnatz (OWNER PRESIDENT) |
Authorized Official Contact | 2198652691 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cd Egnatz Md Pc 1326 W Us Route 30 Schererville IN 46375 Ph: (219) 865-2691 | Cd Egnatz Md Pc 1326 W Us Route 30 Schererville IN 46375 Ph: (219) 865-2691 |
NPI Number | 1508954322 |
---|---|
Provider Enumeration Date | 10/10/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508954322 | NPI | - | NPPES |
000000086644 | Other | IN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01019054A (Indiana) | Primary |
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