Addo, John

Addo, John is an individual health care provider with primary practice located at 2622 Lake Ave , Fort Wayne IN 46805-5410. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Addo, John can be contacted via phone (260) 425-3100.

Contact Information

Primary practice address
2622 Lake Ave Fort Wayne IN 46805-5410
Fax: (260) 425-3604
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 01044290A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01044290 Indiana

Profile Details

NPI number 1922063189
LBN Legal business name Addo, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Sep 23rd, 2020 - about 4 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 1922063189 NPPES
Indiana MEDICAID 200068810

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