Northeast Medical Associates, Pc
LBN: Northeast Medical Associates, Pc
Northeast Medical Associates, Pc is an health care organization with primary practice located at 1234 E. Dupont Rd. Suite 6, Fort Wayne IN 46825-1545. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Northeast Medical Associates, Pc can be contacted via phone (260) 480-2600, or through Evans, Karen Sue via phone (260) 480-2600.
Contact Information
Primary practice address
1234 E. Dupont Rd. Suite 6
Fort Wayne IN 46825-1545
Phone: (260) 480-2600
Fax: (260) 496-8077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 50004246A | Indiana |
Profile Details
| NPI number | 1003807850 |
|---|---|
| LBN Legal business name | Northeast Medical Associates, Pc |
| DBA Doing business as | |
| Authorized official | Evans, Karen Sue Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2005 |
| Last updated | Mar 9th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003807850 | NPPES |
| Indiana | Other | 1003807850 | GROUP NPI |
| Indiana | Other | 7795314 | GROUP NPI |
| Indiana | MEDICAID | 200335790A | GROUP NPI |
| Indiana | Other | CJ8803 | GROUP NPI |
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