Lisa S Bobay in Fort Wayne - Medical

Lisa S Bobay - NPI 1568457356

Lisa S Bobay is a Medical in Fort Wayne, Indiana. Lisa S Bobay practices all healthcare services and medical treatments related to Medical. The NPI Number for Lisa S Bobay is 1568457356. The last update date is 2013-07-18.

Lisa S Bobay's current location address is 3640 New Vision Drive, Fort Wayne, Indiana. You can contact this provider via phone number 2604824440 and fax number 2604824442. The mailing address for Lisa S Bobay is 3640 New Vision Drive, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa S Bobay
Address 3640 New Vision Drive, Fort Wayne, Indiana
Phone Number 2604824440
Fax Number 2604824442
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1568457356
Provider Enumeration Date 2005-09-17
Last Updated Date 2013-07-18

Provider Mailing Address Detail

Address 3640 New Vision Drive
City Fort Wayne
State Indiana (IN)
Post Code 468451717
Phone Number 2604824440
Fax Number 2604824442

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 10000360A
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Lisa S Bobay

What is the Lisa S Bobay's unique identification number?

The Lisa S Bobay has been assigned the NPI (National Provider Identifier) Number 1568457356 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Lisa S Bobay's facilities are situated?

The facilities of Lisa S Bobay are physically located at the following address: 3640 New Vision Drive, Fort Wayne, IN, 468451717.

What is the Lisa S Bobay's area of specialization and corresponding taxonomy classification?

The Lisa S Bobay's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1568457356 to Lisa S Bobay?

The Centers for Medicare & Medicaid Services originally issued the 1568457356 to Lisa S Bobay on 2005-09-17.

As of what date were the Lisa S Bobay's details last updated?

The information pertaining to the Lisa S Bobay, including its address, specialty, and other details, was most recently updated on 2013-07-18.

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