Pidgeon, John S.

Pidgeon, John S. is an individual health care provider with primary practice located at 2231 Carew St , Fort Wayne IN 46805-4713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Pidgeon, John S. can be contacted via phone (260) 425-6780.

Contact Information

Primary practice address
2231 Carew St Fort Wayne IN 46805-4713
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 49759 Kentucky
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01080867A Indiana

Profile Details

NPI number 1306050257
LBN Legal business name Pidgeon, John S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Sep 16th, 2020 - about 4 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 1306050257 NPPES
Kentucky MEDICAID 7100441610
Kentucky MEDICAID G8894681
Kentucky MEDICAID 300001793

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