Noonan, Patrick J

Noonan, Patrick J is an individual health care provider with primary practice located at 7950 W Jefferson Blvd Ste 210 , Fort Wayne IN 46804-4140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Noonan, Patrick J can be contacted via phone (260) 435-7355.

Contact Information

Primary practice address
7950 W Jefferson Blvd Ste 210 Fort Wayne IN 46804-4140
Phone: (260) 435-7355
Fax: (260) 435-7637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 62036 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 02005099A Indiana

Profile Details

NPI number 1972892958
LBN Legal business name Noonan, Patrick J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2011
Last updated Dec 27th, 2022 - about 3 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 1972892958 NPPES
Wisconsin MEDICAID 1972892958

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