NORTHEAST INDIANA GENETICS LLC NPI 1356764419

NPI Information

NORTHEAST INDIANA GENETICS, LLC is a clinical genetics (m.d.) medical genetics in Fort Wayne, IN. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. NORTHEAST INDIANA GENETICS, LLC NPI is 1356764419. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7230 ENGLE RD
FORT WAYNE, IN
ZIP 46804-209
Phone: (260) 482-3886
Fax: (260) 482-1910

The provider's authorized official is Joseph Bader .
The authorized official title is Office Manager and has the following contact phone number (260) 482-3886.

The enumeration date for this NPI number is 1/27/2014 and was last updated on 1/31/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.