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Contact Information

MARK S GAWEL
6652 SAINT JOE RD
FORT WAYNE, IN46835-1974
 Phone: 260-485-7007
 Fax: 260-486-7887
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
 

Home Modifications

171WH0202X
 

Vehicle Modifications

171WV0202X
Indicates primary specialty

NPI Profile & details for MARK S GAWEL · (Male)

NPI # 1427160019
Status Active
Credentials
Entity Individual
Enumeration date 08/31/2006
Last updated 01/27/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 200802140
  • IN License # 200806100
  • IN License # 8824
  • IN Medicaid 200802140 A
  • IN Medicaid 200806100 A
  • IN Other 610371770 DUN & BRADSTREET
  • IN Other 20-3345786 TAX ID
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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