Wellman, Cynthia L

Wellman, Cynthia L is an individual health care provider with primary practice located at 2200 Randallia Dr , Fort Wayne IN 46805. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is her primary health care specialty. Wellman, Cynthia L can be contacted via phone (260) 373-6070.

Contact Information

Primary practice address
2200 Randallia Dr Fort Wayne IN 46805
Phone: (260) 373-6070
Fax: (260) 373-6704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 01039378A Indiana
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01039378A Indiana

Profile Details

NPI number 1588665822
LBN Legal business name Wellman, Cynthia L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Oct 7th, 2022 - about 3 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 1588665822 NPPES
Indiana MEDICAID 100378040A
Indiana MEDICAID 0425810

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