Chrystal, Sean A

Chrystal, Sean A is an individual health care provider with primary practice located at 5454 Hohman Ave , Hammond IN 46320-1931. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Chrystal, Sean A can be contacted via phone (219) 933-2077.

Contact Information

Primary practice address
5454 Hohman Ave Hammond IN 46320-1931
Phone: (219) 933-2077
Fax: (219) 864-2649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 02003500A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02003500A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 02003500A Indiana

Profile Details

NPI number 1598968406
LBN Legal business name Chrystal, Sean A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Mar 7th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598968406 NPPES
Illinois Other 036-117518 LICENSE
Illinois MEDICAID 036117518 - CODE 4 LICENSE
Illinois MEDICAID 200944290 LICENSE
Illinois Other 02003500A LICENSE

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