Fort Wayne Endocrinology Pc

LBN: Fort Wayne Endocrinology Pc
Fort Wayne Endocrinology Pc is an health care organization with primary practice located at 5010 W Jefferson Blvd , Fort Wayne IN 46804-6804. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as the primary health care specialty. Fort Wayne Endocrinology Pc can be contacted via phone (260) 436-1248, or through Newby, Jenney via phone (260) 436-1248.

Contact Information

Primary practice address
5010 W Jefferson Blvd Fort Wayne IN 46804-6804
Phone: (260) 436-1248
Fax: (260) 436-7968
Website:
Map and Directions
Authorized official contact:
Name: Newby, Jenney
Phone: (260) 436-1248

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X

Profile Details

NPI number 1285786111
LBN Legal business name Fort Wayne Endocrinology Pc
DBA Doing business as
Authorized official Newby, Jenney
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 2nd, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285786111 NPPES
Indiana MEDICAID 200218650

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