QHG OF FORT WAYNE COMPANY LLC NPI 1083656573

NPI Information

QHG OF FORT WAYNE COMPANY LLC is a general practice in Fort Wayne, IN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee QHG OF FORT WAYNE COMPANY LLC NPI is 1083656573. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3717 MAPLECREST RD
FORT WAYNE, IN
ZIP 46815-424
Phone: (260) 486-7334

The provider's authorized official is Debbie T Brewer .
The authorized official title is Director Of Provider Enrollment and has the following contact phone number (615) 465-7626.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 2/27/2008.

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

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