NORTHEAST INDIANA UROLOGY. P.C. NPI 1639357528

NPI Information

NORTHEAST INDIANA UROLOGY. P.C. is a durable medical equipment medical supplies in Fort Wayne, IN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. NORTHEAST INDIANA UROLOGY. P.C. NPI is 1639357528. The provider is registered as an organization entity type.

The provider's business location address is:

7900 W JEFFERSON BLVD
301
FORT WAYNE, IN
ZIP 46804-128
Phone: (260) 436-6667
Fax: (260) 469-7437

The provider's authorized official is John Brinkman .
The authorized official title is President and has the following contact phone number (260) 436-6667.

The enumeration date for this NPI number is 2/4/2008 and was last updated on 4/9/2013.

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.

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