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Contact Information

JOHN PAUL M MANALO, MD
7601 W JEFFERSON BLVD
FORT WAYNE, IN46804-4133
 Phone: 260-436-8686
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN PAUL M MANALO · (Male)

NPI # 1043506694
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2011
Last updated 02/10/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 125059860
  • IN License # 01078326A
Hospital affiliation(s)
  • BLUFFTON REGIONAL MEDICAL CENTER - (Acute Care)
    303 S MAIN ST
    BLUFFTON, IN 46714
  • 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
  • MARION GENERAL HOSPITAL - (Acute Care)
    441 N WABASH AVE
    MARION, IN 46952
  • THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR - (Acute Care)
    7952 W JEFFERSON BLVD
    FORT WAYNE, IN 46804
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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