Great Lakes Pediatric Surgeons, Inc.

LBN: Great Lakes Pediatric Surgeons, Inc.
Great Lakes Pediatric Surgeons, Inc. is an health care organization with primary practice located at 7613 W Jefferson Blvd Ste 200 , Fort Wayne IN 46804-4182. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as the primary health care specialty. Great Lakes Pediatric Surgeons, Inc. can be contacted via phone (260) 469-7337, or through Smith, David A. via phone (260) 469-7337.

Contact Information

Primary practice address
7613 W Jefferson Blvd Ste 200 Fort Wayne IN 46804-4182
Phone: (260) 469-7337
Fax: (260) 469-7340
Website:
Map and Directions
Authorized official contact:
Name: Smith, David A. Doctor of Medicine (MD)
Phone: (260) 469-7337

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X

Profile Details

NPI number 1669455267
LBN Legal business name Great Lakes Pediatric Surgeons, Inc.
DBA Doing business as
Authorized official Smith, David A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2005
Last updated Mar 14th, 2008 - about 17 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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