Thomas P Van Den Driessche

LBN: Thomas P Van Den Driessche
Thomas P Van Den Driessche is an health care organization with primary practice located at 3030 Lake Ave Suite 32, Fort Wayne IN 46805-5428. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Thomas P Van Den Driessche can be contacted via phone (260) 424-3134, or through Van Den Driessche, Thomas P via phone (260) 424-3134.

Contact Information

Primary practice address
3030 Lake Ave Suite 32 Fort Wayne IN 46805-5428
Phone: (260) 424-3134
Fax: (260) 424-3138
Website:
Map and Directions
Authorized official contact:
Name: Van Den Driessche, Thomas P Doctor of Medicine (MD)
Phone: (260) 424-3134

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01028709A Indiana

Profile Details

NPI number 1538349956
LBN Legal business name Thomas P Van Den Driessche
DBA Doing business as
Authorized official Van Den Driessche, Thomas P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2007
Last updated Nov 14th, 2007 - about 17 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 1538349956 NPPES
Other CK2666 RR MEDICARE GROUP

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