Bae Systems Fort Wayne In

LBN: Premise Health Of Indiana Medical, P.C.
Bae Systems Fort Wayne In is an health care organization with primary practice located at 4250 Airport Expy , Fort Wayne IN 46809-9643. The organization recently has only one registered license in Ambulatory Health Care Facilities / Occupational Medicine, which is considered as the primary health care specialty. Premise Health Of Indiana Medical, P.C. can be contacted via phone (260) 434-5053, or through Leizman, Jon via phone (216) 479-9063.

Contact Information

Primary practice address
4250 Airport Expy Fort Wayne IN 46809-9643
Phone: (260) 434-5053
Fax: (260) 434-5413
Website:
Map and Directions
Authorized official contact:
Name: Leizman, Jon Doctor of Medicine (MD)
Phone: (216) 479-9063

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X

Profile Details

NPI number 1033700158
LBN Legal business name Premise Health Of Indiana Medical, P.C.
DBA Doing business as Bae Systems Fort Wayne In
Authorized official Leizman, Jon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2021
Last updated Aug 25th, 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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