Secrist, Phil
Secrist, Phil is an individual health care provider with primary practice located at 11109 Parkview Plaza Dr , Fort Wayne IN 46845. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Secrist, Phil can be contacted via phone (260) 425-6030.Contact Information
Primary practice address
11109 Parkview Plaza Dr
Fort Wayne IN 46845
Phone: (260) 425-6030
Fax: (260) 425-6028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 75000036A | Indiana |
Profile Details
| NPI number | 1831695618 |
|---|---|
| LBN Legal business name | Secrist, Phil |
| Credentials | AA-S |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2018 |
| Last updated | Jun 22nd, 2022 - about 2 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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