Ross, Rachael L

Ross, Rachael L is an sole proprietor health care provider with primary practice located at 1619 W 5Th Ave , Gary IN 46404-1506. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Ross, Rachael L can be contacted via phone (219) 886-4788.

Contact Information

Primary practice address
1619 W 5Th Ave Gary IN 46404-1506
Phone: (219) 886-4788
Fax: (219) 886-4106
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01057346A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01057346A Indiana

Profile Details

NPI number 1467447755
LBN Legal business name Ross, Rachael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2005
Last updated Feb 23rd, 2017 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1467447755 NPPES
Indiana MEDICAID 200504830A

Popular Providers