Donna Louise Boeglin in Fort Wayne - Clinical
Donna Louise Boeglin - NPI 1316008899
Donna Louise Boeglin is a Clinical in Fort Wayne, Indiana. Donna Louise Boeglin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Donna Louise Boeglin is 1316008899. The last update date is 2022-04-02.
Donna Louise Boeglin's current location address is 2200 Lake Ave, Fort Wayne, Indiana. You can contact this provider via phone number 2604240411 and fax number 2604243530. The mailing address for Donna Louise Boeglin is 2200 Lake Ave, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donna Louise Boeglin |
|---|---|
| Address | 2200 Lake Ave, Fort Wayne, Indiana |
| Phone Number | 2604240411 |
| Fax Number | 2604243530 |
| Sole Proprietor | N |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1316008899 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2022-04-02 |
Provider Mailing Address Detail
| Address | 2200 Lake Ave |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468055397 |
| Phone Number | 2604240411 |
| Fax Number | 2604243530 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34000903A |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 325926 | IN | ANTHEM |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Donna Louise Boeglin by the Centers for Medicare & Medicaid Services?
The Donna Louise Boeglin has been assigned the NPI (National Provider Identifier) 1316008899 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Donna Louise Boeglin's facilities are geographically located?
The facilities of Donna Louise Boeglin are physically situated at the following location: 2200 Lake Ave, Fort Wayne, IN, 468055397.
What is the Donna Louise Boeglin's specialty and taxonomy code?
The Donna Louise Boeglin's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did Donna Louise Boeglin receive its 1316008899 assignment?
The Donna Louise Boeglin was assigned its 1316008899 on 2006-12-12, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Donna Louise Boeglin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Donna Louise Boeglin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-04-02.