Later, Paul E.

Later, Paul E. is an individual health care provider with primary practice located at 7956 W Jefferson Blvd , Fort Wayne IN 46804-4140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Later, Paul E. can be contacted via phone (260) 436-2416.

Contact Information

Primary practice address
7956 W Jefferson Blvd Fort Wayne IN 46804-4140
Phone: (260) 436-2416
Fax: (260) 436-9662
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01040003A Indiana

Profile Details

NPI number 1689671166
LBN Legal business name Later, Paul E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Dec 28th, 2010 - about 14 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 1689671166 NPPES
Indiana MEDICAID 100319610
Indiana MEDICAID 0873890
Indiana Other 130006860
Indiana MEDICAID 3035350

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