Ayton-Panal, Edna M

Ayton-Panal, Edna M is an individual health care provider with primary practice located at 3811 Parnell Ave , Fort Wayne IN 46805-1409. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Ayton-Panal, Edna M can be contacted via phone (260) 482-4651.

Contact Information

Primary practice address
3811 Parnell Ave Fort Wayne IN 46805-1409
Phone: (260) 482-4651
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X 05003023A Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05003023A Indiana

Profile Details

NPI number 1760680151
LBN Legal business name Ayton-Panal, Edna M
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2007
Last updated Jul 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760680151 NPPES
Indiana MEDICAID 100266090

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