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Contact Information

PATHOLOGY & FORENSIC CONSULTANTS LLC
700 BROADWAY
FORT WAYNE, IN46802
 Phone: 260-425-3762
 Fax: 260-425-3298
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Forensic Pathology

207ZF0201X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for PATHOLOGY FORENSIC CONSULTANTS LLC · (Female)

NPI # 1720018773
Status Active
Credentials
Entity Individual
Enumeration date 07/04/2006
Last updated 07/21/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN Medicaid 200825690A
  • OH Medicaid 2673790
  • OH Medicaid 2673807
  • OH Medicaid 2673816
  • IN Other 000000487821 BCBS
  • IN Other DF4174 RAILROAD MEDICARE
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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