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Contact Information

INDIANA WOUND CARE, P.C.
700 BROADWAY FL 2
FORT WAYNE, IN46802-1402
 Phone: 260-424-9000
 Fax: 260-425-3029
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for INDIANA WOUND CARE PC · (Female)

NPI # 1619950185
Status Active
Credentials
Entity Individual
Enumeration date 11/29/2005
Last updated 07/19/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 50004525A
  • IN Medicaid 200437440A
  • IN Other DA1057 MEDICARE 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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