Rasp, Fred L.

Rasp, Fred L. is an individual health care provider with primary practice located at 7952 W Jeffferson Blvd , Fort Wayne IN 46804-4140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Rasp, Fred L. can be contacted via phone (260) 435-2836.

Contact Information

Primary practice address
7952 W Jeffferson Blvd Fort Wayne IN 46804-4140
Phone: (260) 435-2836
Fax: (260) 435-7585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01024370A Indiana

Profile Details

NPI number 1346217072
LBN Legal business name Rasp, Fred L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jan 19th, 2017 - about 7 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 1346217072 NPPES
Indiana Other 000000087415 ANTHEM
Indiana Other P00783794 ANTHEM
Indiana MEDICAID 0624739 ANTHEM
Indiana MEDICAID 100355530 ANTHEM

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