Dekoninck, Pamela S
Dekoninck, Pamela S is an sole proprietor health care provider with primary practice located at 2101 E Coliseum Blvd Wu 234, Fort Wayne IN 46805-1445. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Dekoninck, Pamela S can be contacted via phone (260) 481-5748.Contact Information
Primary practice address
2101 E Coliseum Blvd Wu 234
Fort Wayne IN 46805-1445
Phone: (260) 481-5748
Fax: (260) 481-5752
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 28079817 | Indiana |
Profile Details
| NPI number | 1639622772 |
|---|---|
| LBN Legal business name | Dekoninck, Pamela S |
| Credentials | MS, RN, AGPCNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2016 |
| Last updated | Jul 25th, 2016 - about 9 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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