Media Jaboori is a Medical in Fort Wayne, Indiana. Media Jaboori practices all healthcare services and medical treatments related to Medical. The NPI Number for Media Jaboori is 1730175506. The last update date is 2013-08-14.
Media Jaboori'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 Media Jaboori is 3640 New Vision Drive, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Media Jaboori |
|---|---|
| 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 | 1730175506 |
|---|---|
| Provider Enumeration Date | 2005-09-27 |
| Last Updated Date | 2013-08-14 |
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 | 10000601 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the Media Jaboori's 1730175506?
The Media Jaboori's NPI (National Provider Identifier) Number is 1730175506. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Media Jaboori is physically located?
The Media Jaboori is physically situated at the following address: 3640 New Vision Drive, Fort Wayne, IN, 468451717.
What is the Media Jaboori's area of specialization and corresponding taxonomy classification?
The Media Jaboori's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
When did Media Jaboori receive its 1730175506 assignment?
The Media Jaboori was assigned its 1730175506 on 2005-09-27, which is the date when this unique identifier was issued to the organization.
When was the Media Jaboori's information last updated?
The Media Jaboori's information was last updated on 2013-08-14.
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