Provider Demographics
NPI:1093750598
Name:REFKIN, JOSEPH P (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:P
Last Name:REFKIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10548
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46411-0548
Mailing Address - Country:US
Mailing Address - Phone:219-769-2222
Mailing Address - Fax:219-769-6133
Practice Address - Street 1:267 W 80TH PL
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-5431
Practice Address - Country:US
Practice Address - Phone:219-769-2222
Practice Address - Fax:219-769-6133
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001119A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100349380BMedicaid
IN4670379OtherAETNA
IN000000185012OtherANTHEM - BCBS
IN170110Medicare ID - Type UnspecifiedMEDICARE
IN100349380BMedicaid