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CAREHALO OHIO LLC NPI 1962055152


NPI Information

NPI: 1962055152
Provider Name: CAREHALO OHIO LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2510 DUPONT CIRCLE DR.
SUITE 201
FORT WAYNE, IN
ZIP 46825
Phone: (770) 364-2184
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CAREHALO OHIO 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 CAREHALO OHIO LLC NPI is 1962055152. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2510 DUPONT CIRCLE DR.
SUITE 201
FORT WAYNE, IN
ZIP 46825
Phone: (770) 364-2184

The provider's authorized official is Tamika Goins .
The authorized official title is President and has the following contact phone number (770) 364-2184.

The enumeration date for this NPI number is 7/17/2019 and was last updated on 7/17/2019.


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
1208D00000XGeneral PracticeYes

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: 4/28/2024

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