Provider Demographics
NPI:1164440830
Name:CONN, CHRISTOPHER ADAM (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ADAM
Last Name:CONN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:85 E US HIGHWAY 6
Mailing Address - Street 2:SUITE 240
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-8917
Mailing Address - Country:US
Mailing Address - Phone:219-983-6240
Mailing Address - Fax:219-983-6040
Practice Address - Street 1:600 LEGACY PLZ W
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:IN
Practice Address - Zip Code:46350-5268
Practice Address - Country:US
Practice Address - Phone:219-379-3166
Practice Address - Fax:219-324-9730
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2020-09-16
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Provider Licenses
StateLicense IDTaxonomies
KY40455208600000X
IN01067601A208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery