Fort Wayne Physical Medicine

LBN: Fort Wayne Physical Medicine P C
Fort Wayne Physical Medicine is an health care organization with primary practice located at 5750 Coventry Ln Suite 101, Fort Wayne IN 46804-7166. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Fort Wayne Physical Medicine P C can be contacted via phone (260) 436-9337, or through Reecer, Mark V via phone (260) 436-9337.

Contact Information

Primary practice address
5750 Coventry Ln Suite 101 Fort Wayne IN 46804-7166
Fax: (260) 436-9626
Website:
Authorized official contact:
Name: Reecer, Mark V Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X

Profile Details

NPI number 1083833297
LBN Legal business name Fort Wayne Physical Medicine P C
DBA Doing business as Fort Wayne Physical Medicine
Authorized official Reecer, Mark V Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2007
Last updated Oct 5th, 2023 - about 2 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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