Parent, John Rex

Parent, John Rex is an individual health care provider with primary practice located at 321 E Wayne St , Fort Wayne IN 46802-2713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Parent, John Rex can be contacted via phone (260) 424-5656.

Contact Information

Primary practice address
321 E Wayne St Fort Wayne IN 46802-2713
Fax: (260) 424-4511
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01023963 Indiana

Profile Details

NPI number 1275545873
LBN Legal business name Parent, John Rex
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Jan 6th, 2011 - about 14 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 1275545873 NPPES
Indiana Other 1669 PHYSICIAN'S HEALTH PLAN
Indiana Other 000000083765 PHYSICIAN'S HEALTH PLAN
Indiana MEDICAID 0420226 PHYSICIAN'S HEALTH PLAN
Indiana MEDICAID 200014170 PHYSICIAN'S HEALTH PLAN

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