Pancner Psychiatric Associates, Pc

LBN: Pancner Psychiatric Associates, Pc
Pancner Psychiatric Associates, Pc is an health care organization with primary practice located at 2805 Fairfield Ave , Fort Wayne IN 46807-1218. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Pancner Psychiatric Associates, Pc can be contacted via phone (260) 456-4880, or through Pancner, Ronald J via phone (260) 456-4880.

Contact Information

Primary practice address
2805 Fairfield Ave Fort Wayne IN 46807-1218
Phone: (260) 456-4880
Fax: (260) 456-3559
Website:
Map and Directions
Authorized official contact:
Name: Pancner, Ronald J Doctor of Medicine (MD)
Phone: (260) 456-4880

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X Indiana

Profile Details

NPI number 1801019096
LBN Legal business name Pancner Psychiatric Associates, Pc
DBA Doing business as
Authorized official Pancner, Ronald J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Apr 29th, 2008 - about 17 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 1801019096 NPPES
Indiana MEDICAID 100049440

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