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
Phone: (260) 425-3100
Fax: (260) 425-3604
Website:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922063189 | NPPES |
| Indiana | MEDICAID | 200068810 |
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