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Contact Information

THREE RIVERS ANESTHESIA, LLC
7956 W. JEFFERSON BLVD.
FORT WAYNE, IN46804
 Phone: 765-284-0493
 Fax: 765-284-2434
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for THREE RIVERS ANESTHESIA LLC · (Female)

NPI Number 1760542468
Status Active
Credentials
Entity Individual
Enumeration date 12/11/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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