Plastic Surgery Innovations, P.C.

LBN: Plastic Surgery Innovations, P.C.
Plastic Surgery Innovations, P.C. is an health care organization with primary practice located at 9933 Dupont Circle Dr W Ste 120 , Fort Wayne IN 46825-1629. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Plastic Surgery Innovations, P.C. can be contacted via phone (260) 490-4673, or through Mlakar, Joseph M. via phone (260) 490-4673.

Contact Information

Primary practice address
9933 Dupont Circle Dr W Ste 120 Fort Wayne IN 46825-1629
Phone: (260) 490-4673
Fax: (260) 490-2165
Website:
Map and Directions
Authorized official contact:
Name: Mlakar, Joseph M. Doctor of Medicine (MD)
Phone: (260) 490-4673

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X Indiana

Profile Details

NPI number 1275624686
LBN Legal business name Plastic Surgery Innovations, P.C.
DBA Doing business as
Authorized official Mlakar, Joseph M. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2006
Last updated Jan 4th, 2022 - about 2 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 1275624686 NPPES
Ohio MEDICAID 2723806

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