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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

JOSEPH EAPEN, MD
7916 W JEFFERSON BLVD
FORT WAYNE, IN46804-4140
 Phone: 260-432-2297
 Fax: 260-479-2950
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Legal Medicine

209800000X
Indicates primary specialty

NPI Profile & details for JOSEPH EAPEN · (Male)

NPI Number 1790757466
Credentials MD
Entity Individual
Enumeration date 02/06/2006
Last updated 09/19/2014 - About 2 years ago
Sole proprietor 1 No
Identifiers
IL License # 036110767
IN License # 01063289
IN License # 01063289A
IL Medicaid 036110767
IN Medicaid 200856040
IL Medicare (Unspecified) K07593
IN Medicare PIN 260690B3
IL Medicare UPIN I04851
IN Other 000000638746 ANTHEM
Hospital affiliation(s)
  • DUPONT HOSPITAL LLC - (Acute Care)
    2520 E DUPONT RD
    FORT WAYNE, IN 46825
  • LUTHERAN HOSPITAL OF INDIANA - (Acute Care)
    7950 W JEFFERSON BLVD
    FORT WAYNE, IN 46804
  • PARKVIEW REGIONAL MEDICAL CENTER - (Acute Care)
    11109 PARKVIEW PLAZA DRIVE
    FORT WAYNE, IN 46845
  • ST JOSEPH HOSPITAL - (Acute Care)
    700 BROADWAY
    FORT WAYNE, IN 46802
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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