Louise, Mable-Gene

Louise, Mable-Gene is an sole proprietor health care provider with primary practice located at 5111 N Bend Dr , Fort Wayne IN 46804-1753. She recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist, Agencies / In Home Supportive Care, Nursing Service Related Providers / Nurse's Aide, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Louise, Mable-Gene can be contacted via phone (260) 436-8807.

Contact Information

Primary practice address
5111 N Bend Dr Fort Wayne IN 46804-1753
Phone: (260) 436-8807
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist 225A00000X
Agencies / In Home Supportive Care 253Z00000X
Nursing Service Related Providers / Nurse's Aide 376K00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT22107337 Indiana

Profile Details

NPI number 1457079857
LBN Legal business name Louise, Mable-Gene
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2022
Last updated Aug 22nd, 2022 - about 2 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 1457079857 NPPES
Indiana Other 450230-06 BCTMB
Indiana Other LCEU0002762 BCTMB
Indiana Other MT22107337 BCTMB

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