Northeast Indiana Urology Pc in Fort Wayne - Durable Medical Equipment & Medical Supplies

Northeast Indiana Urology Pc - NPI 1295913093

Northeast Indiana Urology Pc is a Durable Medical Equipment & Medical Supplies in Fort Wayne, Indiana. Northeast Indiana Urology Pc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Northeast Indiana Urology Pc is 1295913093. The last update date is 2013-04-10.

Northeast Indiana Urology Pc's current location address is 2512 E Dupont Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2604366667 and fax number 2604697437. The mailing address for Northeast Indiana Urology Pc is 2512 E Dupont Rd, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northeast Indiana Urology Pc
Address 2512 E Dupont Rd, Fort Wayne, Indiana
Phone Number 2604366667
Fax Number 2604697437
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Brinkman John
Credentials MD
Telephone Number 2604366667

NPI Number Detail

NPI Number 1295913093
Provider Enumeration Date 2008-02-04
Last Updated Date 2013-04-10

Provider Mailing Address Detail

Address 2512 E Dupont Rd
City Fort Wayne
State Indiana (IN)
Post Code 468251609
Phone Number 2604366667
Fax Number 2604697437

Provider's Primary Taxonomy Detail

Speciality Durable Medical Equipment & Medical Supplies
Taxonomy 332B00000X
Definition:
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.

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FAQs about Northeast Indiana Urology Pc

What is the unique identifier code issued to Northeast Indiana Urology Pc by the Centers for Medicare & Medicaid Services (CMS)?

The Northeast Indiana Urology Pc has been assigned the NPI (National Provider Identifier) 1295913093. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Northeast Indiana Urology Pc?

The Northeast Indiana Urology Pc is situated at 2512 E Dupont Rd, in the city of Fort Wayne, state of IN, with the zip code 468251609.

What is the Northeast Indiana Urology Pc's specialty and taxonomy code?

The Northeast Indiana Urology Pc's specialty is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code is 332B00000X.

On what date did the Northeast Indiana Urology Pc receive the assignment of its 1295913093 from the Centers for Medicare & Medicaid Services?

The Northeast Indiana Urology Pc was issued its 1295913093 by the Centers for Medicare & Medicaid Services on 2008-02-04.

As of what date were the Northeast Indiana Urology Pc's details last updated?

The information pertaining to the Northeast Indiana Urology Pc, including its address, specialty, and other details, was most recently updated on 2013-04-10.

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