De Guzman, Jan Magno
De Guzman, Jan Magno is an individual health care provider with primary practice located at 10215 Auburn Park Dr , Fort Wayne IN 46825-2387. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. De Guzman, Jan Magno can be contacted via phone (260) 234-5400.Contact Information
Primary practice address
10215 Auburn Park Dr
Fort Wayne IN 46825-2387
Phone: (260) 234-5400
Fax: (260) 234-5110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 01083919A | Indiana |
Profile Details
| NPI number | 1477083848 |
|---|---|
| LBN Legal business name | De Guzman, Jan Magno |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2017 |
| Last updated | Dec 15th, 2021 - about 3 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 | 1477083848 | NPPES |
| Indiana | Other | 11019468A | STATE LICENSE |
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