Newly enumerated
The official enumeration date falls within the documented new-enumeration window.
- Enumeration date is 37 days before observation
104100000X · GARY, IN
Why this profile is appearing now
The official enumeration date falls within the documented new-enumeration window.
Reported classification
| Code | Description | Source flag |
|---|---|---|
| 104100000X | 104100000X | Primary |
| 101Y00000X | 101Y00000X | Additional |
| 101YA0400X | 101YA0400X | Additional |
| 101YM0800X | 101YM0800X | Additional |
| 103T00000X | 103T00000X | Additional |
| 1041C0700X | 1041C0700X | Additional |
| 106S00000X | 106S00000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record