Addo, Dorothea
Addo, Dorothea is an individual health care provider with primary practice located at 2622 Lake Ave , Fort Wayne IN 46805-5410. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Addo, Dorothea can be contacted via phone (260) 425-3100.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01045551A | Indiana |
Profile Details
| NPI number | 1063478360 |
|---|---|
| LBN Legal business name | Addo, Dorothea |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Aug 29th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063478360 | NPPES |
| Indiana | MEDICAID | 200163320 |
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