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Contact Information

JAN M DE GUZMAN, MD
10215 AUBURN PARK DR
FORT WAYNE, IN46825-2387
 Phone: 260-234-5400
 Fax: 260-234-5110
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JAN M DE GUZMAN · (Male)

NPI Number 1477083848
Status Active
Credentials MD
Entity Individual
Enumeration date 06/18/2017
Last updated 12/15/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01083919A
  • IN Other 11019468A STATE LICENSE
Hospital affiliation(s)
  • INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL - (Acute Care)
    2401 UNIVERSITY AVE
    MUNCIE, IN 47303
  • PARKVIEW REGIONAL MEDICAL CENTER - (Acute Care)
    11109 PARKVIEW PLAZA DRIVE
    FORT WAYNE, IN 46845
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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