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INDIANA EPILEPSY AND CHILD NEUROLOGY INC. NPI 1871668582


NPI Information

NPI: 1871668582
Provider Name: INDIANA EPILEPSY AND CHILD NEUROLOGY, INC.
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
4310 LAKE AVE
FORT WAYNE, IN
ZIP 46815
Phone: (260) 426-9996
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INDIANA EPILEPSY AND CHILD NEUROLOGY, INC. is a neurology with special qualifications in child neurology psychiatry neurology in Fort Wayne, IN. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. INDIANA EPILEPSY AND CHILD NEUROLOGY, INC. NPI is 1871668582. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4310 LAKE AVE
FORT WAYNE, IN
ZIP 46815-222
Phone: (260) 426-9996
Fax: (260) 426-9996

The provider's authorized official is Don Stauffer .
The authorized official title is Vice President and has the following contact phone number (260) 426-9996.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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