Provider Demographics
NPI:1659418788
Name:COMPREHENSIVE MEDICINE
Entity type:Organization
Organization Name:COMPREHENSIVE MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:MESSANA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:219-977-2090
Mailing Address - Street 1:7501 W. 15TH AVE.
Mailing Address - Street 2:
Mailing Address - City:GARY
Mailing Address - State:IN
Mailing Address - Zip Code:46406
Mailing Address - Country:US
Mailing Address - Phone:219-977-2090
Mailing Address - Fax:219-977-2091
Practice Address - Street 1:7501 W 15TH AVE
Practice Address - Street 2:
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46406-2267
Practice Address - Country:US
Practice Address - Phone:219-977-2090
Practice Address - Fax:219-977-2091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02001893A208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty