Colanese, Justin P

Colanese, Justin P is an individual health care provider with primary practice located at 12800 Mississippi Pkwy Ste A201 , Crown Point IN 46307-6902. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Colanese, Justin P can be contacted via phone (219) 921-1444.

Contact Information

Primary practice address
12800 Mississippi Pkwy Ste A201 Crown Point IN 46307-6902
Phone: (219) 921-1444
Fax: (219) 921-5303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 036143827 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01082195A Indiana

Profile Details

NPI number 1104115542
LBN Legal business name Colanese, Justin P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2011
Last updated Jul 21st, 2022 - about 3 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 1104115542 NPPES
Indiana MEDICAID 300029845

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