Organization · NPI-2

Enhanced Practice Services

Family Medicine, Sleep Medicine · Hammond, IN

NPI number1619356607
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1619356607
Entity type
Organization (NPI-2)
Legal business name
Enhanced Practice Services
Organization subpart
No
Enumeration date
May 22, 2015
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QS1201X Family Medicine, Sleep Medicine–INYes
2084N0400X Psychiatry & Neurology, Neurology–IN

Practice location

5908 Columbia Ave
Hammond, IN 46320-2610

Phone 219-803-7380 · Fax 219-803-7551

Mailing address

5908 Columbia Ave
Hammond, IN 46320-2610

Phone 219-803-7380 · Fax 219-803-7551

Authorized official

Robert J. Newell
Member
2196772269

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine, Sleep Medicine providers in Hammond, IN