Bressack, Mitchell L

Bressack, Mitchell L is an sole proprietor health care provider with primary practice located at 70 W 94Th Place , Crown Point IN 46307-1710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bressack, Mitchell L can be contacted via phone (219) 662-8822.

Contact Information

Primary practice address
70 W 94Th Place Crown Point IN 46307-1710
Phone: (219) 662-8822
Fax: (219) 662-8833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036059363 Illinois
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01031629 Indiana

Profile Details

NPI number 1346245115
LBN Legal business name Bressack, Mitchell L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated May 4th, 2023 - about 2 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 1346245115 NPPES
Indiana MEDICAID 100214910A

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