Dettmer, Robert Wayne
Dettmer, Robert Wayne is an sole proprietor health care provider with primary practice located at 2935 Ambleside Way , Fort Wayne IN 46804-2443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Dettmer, Robert Wayne can be contacted via phone (260) 459-7657.Contact Information
Primary practice address
2935 Ambleside Way
Fort Wayne IN 46804-2443
Phone: (260) 459-7657
Fax: (260) 459-7658
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 01022140A | Indiana |
Profile Details
| NPI number | 1326319724 |
|---|---|
| LBN Legal business name | Dettmer, Robert Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2012 |
| Last updated | Jan 18th, 2012 - about 13 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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