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Contact Information

INDIANA PATHOLOGY CONSULTANTS, INC.
7950 WEST JEFFERSON BLVD.
PATHOLOGY DEPARTMENT
FORT WAYNE, IN46804
 Phone: 260-435-7154
 Fax: 260-435-7633
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for INDIANA PATHOLOGY CONSULTANTS INC · (Female)

NPI Number 1467597062
Status Active
Credentials
Entity Individual
Enumeration date 02/21/2007
Last updated 09/28/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 50000730A
  • IN Medicaid 100053700B
  • Other CN1365 RAILROAD
Hospital affiliation(s) Not Available
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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