Fallon, John H

Fallon, John H is an individual health care provider with primary practice located at 10021 Dupont Circle Ct , Fort Wayne IN 46825-1604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Fallon, John H can be contacted via phone (260) 426-8117.

Contact Information

Primary practice address
10021 Dupont Circle Ct Fort Wayne IN 46825-1604
Phone: (260) 426-8117
Fax: (260) 420-0817
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01035289A Indiana

Profile Details

NPI number 1326040395
LBN Legal business name Fallon, John H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Feb 6th, 2013 - about 11 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 1326040395 NPPES
Indiana MEDICAID 100261520A
Indiana Other 040014980
Indiana MEDICAID 0827850

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