Professional Emergency Physicians Inc in Fort Wayne - Medical
Professional Emergency Physicians Inc - NPI 1215044102
Professional Emergency Physicians Inc is a Medical in Fort Wayne, Indiana. Professional Emergency Physicians Inc practices all healthcare services and medical treatments related to Medical. The NPI Number for Professional Emergency Physicians Inc is 1215044102. The last update date is 2020-08-22.
Professional Emergency Physicians Inc's current location address is 2414 E State Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604824440. The mailing address for Professional Emergency Physicians Inc is 2414 E State Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Professional Emergency Physicians Inc |
|---|---|
| Address | 2414 E State Blvd, Fort Wayne, Indiana |
| Phone Number | 2604824440 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gutwein E Thomas |
| Credentials | MD |
| Telephone Number | 2604824440 |
NPI Number Detail
| NPI Number | 1215044102 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2414 E State Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468054760 |
| Phone Number | 2604824440 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2517735 | OH | -- |
Post Comment/ Review Below
What is the Professional Emergency Physicians Inc's 1215044102?
The Professional Emergency Physicians Inc's NPI (National Provider Identifier) Number is 1215044102. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Professional Emergency Physicians Inc's facilities are geographically located?
The facilities of Professional Emergency Physicians Inc are physically situated at the following location: 2414 E State Blvd, Fort Wayne, IN, 468054760.
What is Professional Emergency Physicians Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Professional Emergency Physicians Inc is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
On what date did the Professional Emergency Physicians Inc receive the assignment of its 1215044102 from the Centers for Medicare & Medicaid Services?
The Professional Emergency Physicians Inc was issued its 1215044102 by the Centers for Medicare & Medicaid Services on 2006-08-24.
When was the information pertaining to Professional Emergency Physicians Inc most recently updated or revised?
The details related to Professional Emergency Physicians Inc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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