Base Medical Spa
NPI #1396202776 in Chesterton, Indiana
Provider Information
- NPI Number
- 1396202776
- Entity Type
- Organization
- Organization Name
- Base Medical Spa
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BASE SPA & WELLNESS
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Feb 21, 2019
- Last Updated
- Feb 21, 2019
Practice Location
- Address
- 442 N CALUMET RD
- City
- Chesterton
- State
- Indiana
- ZIP Code
- 46304-2489
- Phone
- (219) 644-6716
Authorized Official
- Name
- BRANDI L ROBERTSON, RN
- Title
- OWNER
- Phone
- (219) 644-6716
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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