NORTHEAST INDIANA UROLOGY P.C. NPI 1972638955

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 1972638955. The provider is registered as an organization entity type.

The provider's business location address is:

2512 E DUPONT RD
SUITE 100
FORT WAYNE, IN
ZIP 46825-609
Phone: (260) 436-6667

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 2/22/2007 and was last updated on 4/11/2013.

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

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