Karl, Jon A
Karl, Jon A is an individual health care provider with primary practice located at 5050 N Clinton St , Fort Wayne IN 46825-5886. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Karl, Jon A can be contacted via phone (260) 484-8551.Contact Information
Primary practice address
5050 N Clinton St
Fort Wayne IN 46825-5886
Phone: (260) 484-8551
Fax: (260) 482-5060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 01065304A | Indiana |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 036-115685 | Illinois |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 01065304A | Indiana |
Profile Details
| NPI number | 1548432115 |
|---|---|
| LBN Legal business name | Karl, Jon A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2008 |
| Last updated | Oct 22nd, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548432115 | NPPES |
| Indiana | MEDICAID | 200898700 |
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