John Addo is a General Practice in Fort Wayne, Indiana. John Addo practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Addo is 1922063189. The last update date is 2020-09-23.
John Addo's current location address is 2622 Lake Ave, Fort Wayne, Indiana. You can contact this provider via phone number 2604253100 and fax number 2604253604. The mailing address for John Addo is 2622 Lake Ave, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Addo |
|---|---|
| Address | 2622 Lake Ave, Fort Wayne, Indiana |
| Phone Number | 2604253100 |
| Fax Number | 2604253604 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1922063189 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2020-09-23 |
Provider Mailing Address Detail
| Address | 2622 Lake Ave |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468055410 |
| Phone Number | 2604253100 |
| Fax Number | 2604253604 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 01044290A |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200068810 | IN | -- |
Post Comment/ Review Below
What is the John Addo's 1922063189?
The John Addo's NPI (National Provider Identifier) Number is 1922063189. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the John Addo's physical address?
The John Addo is physically located at 2622 Lake Ave, in the city of Fort Wayne, IN, with the postal code 468055410.
What is John Addo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Addo's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.
When was the John Addo's 1922063189 issued?
The John Addo's 1922063189 was issued on 2006-04-19.
When was the information regarding John Addo, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to John Addo, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-09-23.