Marlene Clare Bultemeyer in Fort Wayne - Neurology
Marlene Clare Bultemeyer - NPI 1083828719
Marlene Clare Bultemeyer is a Neurology in Fort Wayne, Indiana. Marlene Clare Bultemeyer practices all healthcare services and medical treatments related to Neurology. The NPI Number for Marlene Clare Bultemeyer is 1083828719. The last update date is 2023-08-01.
Marlene Clare Bultemeyer's current location address is 7956 W Jefferson Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604362416 and fax number 2604369662. The mailing address for Marlene Clare Bultemeyer is 7956 W Jefferson Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marlene Clare Bultemeyer |
|---|---|
| Address | 7956 W Jefferson Blvd, Fort Wayne, Indiana |
| Phone Number | 2604362416 |
| Fax Number | 2604369662 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1083828719 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2023-08-01 |
Provider Mailing Address Detail
| Address | 7956 W Jefferson Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468044140 |
| Phone Number | 2604362416 |
| Fax Number | 2604369662 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 01066634A |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1083828719 | MI | -- | |
| 3034657 | OH | -- | |
| 200974740 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Marlene Clare Bultemeyer by the Centers for Medicare & Medicaid Services?
The Marlene Clare Bultemeyer has been issued the NPI (National Provider Identifier) 1083828719 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Marlene Clare Bultemeyer's facilities are geographically located?
The facilities of Marlene Clare Bultemeyer are physically situated at the following location: 7956 W Jefferson Blvd, Fort Wayne, IN, 468044140.
What is the Marlene Clare Bultemeyer's specialty and taxonomy code?
The Marlene Clare Bultemeyer's specialty is Neurology, and the corresponding taxonomy code is 2084N0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1083828719 to Marlene Clare Bultemeyer?
The Marlene Clare Bultemeyer received its 1083828719 assignment from the Centers for Medicare & Medicaid Services on 2007-05-10.
As of what date were the details related to Marlene Clare Bultemeyer most recently updated or revised?
The information pertaining to Marlene Clare Bultemeyer, including its address, specialty, and other relevant details, was last updated or revised on 2023-08-01.