Audrey Fawn Sofair in Fort Wayne - Pediatric Rehabilitation Medicine
Audrey Fawn Sofair - NPI 1326139833
Audrey Fawn Sofair is a Pediatric Rehabilitation Medicine in Fort Wayne, Indiana. Audrey Fawn Sofair practices all healthcare services and medical treatments related to Pediatric Rehabilitation Medicine. The NPI Number for Audrey Fawn Sofair is 1326139833. The last update date is 2023-03-02.
Audrey Fawn Sofair's current location address is 11123 Parkview Plaza Dr Ste 201, Fort Wayne, Indiana. You can contact this provider via phone number 2604255950 and fax number 2604255165. The mailing address for Audrey Fawn Sofair is 11123 Parkview Plaza Dr Ste 201, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Audrey Fawn Sofair |
|---|---|
| Address | 11123 Parkview Plaza Dr Ste 201, Fort Wayne, Indiana |
| Phone Number | 2604255950 |
| Fax Number | 2604255165 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1326139833 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2023-03-02 |
Provider Mailing Address Detail
| Address | 11123 Parkview Plaza Dr Ste 201 |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468451707 |
| Phone Number | 2604255950 |
| Fax Number | 2604255165 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Rehabilitation Medicine |
|---|---|
| Taxonomy | 2081P0010X |
| Licence No | 194228 |
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Definition: A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosoci |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1888426 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Audrey Fawn Sofair by the Centers for Medicare & Medicaid Services?
The Audrey Fawn Sofair has been issued the NPI (National Provider Identifier) 1326139833, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Audrey Fawn Sofair is geographically located?
The Audrey Fawn Sofair is physically situated at the following location: 11123 Parkview Plaza Dr Ste 201, Fort Wayne, IN, 468451707.
What is Audrey Fawn Sofair's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Audrey Fawn Sofair is Pediatric Rehabilitation Medicine, and the taxonomy code that classifies this field of practice is 2081P0010X.
On what date was the 1326139833 assigned to Audrey Fawn Sofair?
The Audrey Fawn Sofair was issued its 1326139833 on 2006-09-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Audrey Fawn Sofair most recently updated or revised?
The information pertaining to Audrey Fawn Sofair, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-02.
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