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Sterling Shores

NPI 1366684086 · on the registry since 2009 · sole proprietor

Practice

Address
74 Journey Way
Valparaiso, IN 46383
Phone
(192) 554-3782
Organisation at this address
Ffi Valparaiso Tenant Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
225X00000X
225X00000X
Also registered as
174400000X
174400000X
Licence states on file
IN, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana