Lincoln Pedic Clinic, Inc.

LBN: Lincoln Pedic Clinic, Inc.
Lincoln Pedic Clinic, Inc. is an health care organization with primary practice located at 12311 Autumn Breeze Dr , Fort Wayne IN 46845-9111. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Lincoln Pedic Clinic, Inc. can be contacted via phone (260) 637-8414, or through Paunwar, Janet Alyce via phone (260) 637-8414.

Contact Information

Primary practice address
12311 Autumn Breeze Dr Fort Wayne IN 46845-9111
Phone: (260) 637-8414
Fax: (260) 637-8152
Website:
Map and Directions
Authorized official contact:
Name: Paunwar, Janet Alyce
Phone: (260) 637-8414

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000776A Indiana

Profile Details

NPI number 1760486393
LBN Legal business name Lincoln Pedic Clinic, Inc.
DBA Doing business as
Authorized official Paunwar, Janet Alyce
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2005
Last updated Nov 30th, 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 1760486393 NPPES
Indiana Other 000000235683 ANTHEM BLUE CROSS
Indiana MEDICAID 100210380A ANTHEM BLUE CROSS
Indiana Other C31367 ANTHEM BLUE CROSS

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