Healthcare Provider Details

I. General information

NPI: 1023031911
Provider Name (Legal Business Name): CAREPOINTE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 12/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 E 86TH AVE SUITE A
MERRILLVILLE IN
46410-6381
US

IV. Provider business mailing address

99 E 86TH AVE SUITE A
MERRILLVILLE IN
46410-6381
US

V. Phone/Fax

Practice location:
  • Phone: 219-738-2617
  • Fax: 219-738-2528
Mailing address:
  • Phone: 219-738-2617
  • Fax: 219-738-2528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number StateIN

VIII. Authorized Official

Name: DR. DENNIS P HAN
Title or Position: PRESIDENT
Credential: MD
Phone: 219-738-2617