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General NPI Number Information
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NPI Number | 1740141134
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Entity Type | Individual
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Provider Name | JOSEPH CALVIN ROQUE GASPAR
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Gender | Male
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 60 W 94TH PL
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City | CROWN POINT
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State | IN
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Zip | 46307-1710
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Country | US
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Telephone | 219-926-5850
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Fax | 219-250-2072
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Provider Business Mailing Address
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Address Line | 502 E 1100 N
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City | CHESTERTON
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State | IN
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Zip | 46304-9697
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Country | US
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Telephone | 219-926-5850
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Fax | 219-250-2072
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 05016206A
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License Number State | IN
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