Qhg Of Fort Wayne Company Llc

NPI 1083656573 - General Practice - 208D00000X

NPI Details
NPI 1083656573
Enumeration Date 06/11/2006
Last Updated 02/27/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DEBBIE T DEBBIE
Position DIRECTOR OF PROVIDER ENROLLMENT
Phone (260) 486-7334
Fax
Practice Location
3717 MAPLECREST RD
FORT WAYNE IN, 46815-8424, US
Phone (260) 486-7334
Fax
Business Location
7100 COMMERCE WAY
SUITE 180
BRENTWOOD TN, 37027-2829, US
Phone
Fax
Toxanomy
Taxonomy Code 208D00000X
License State
License Number
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According to our database, Qhg Of Fort Wayne Company Llc NPI is 1083656573, taxonomy code is 208D00000X Qhg Of Fort Wayne Company Llc physically located at 3717 Maplecrest Rd, Fort Wayne IN, 46815-8424. NPI Number 1033115704 has the healthcare provider type.

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1083656573 NPI number is provided on an as is basis without warranty of any kind. 1083656573 is maintained by the National Plan & Provider Enumeration System. The contents of Qhg Of Fort Wayne Company Llc are for informational purposes only.