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Contact Information

JANIS L CHRISSIKOS, RN, BSN, MSN, CNM
3732 NEW VISION DR
FORT WAYNE, IN46845-1703
 Phone: 260-373-1100
 Fax: 260-373-1122
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Maternal Newborn

163WM0102X
Indicates primary specialty

NPI Profile & details for JANIS L CHRISSIKOS · (Female)

NPI # 1780932053
Status Active
Credentials RN, BSN, MSN, CNM
Entity Individual
Enumeration date 08/16/2012
Last updated 11/28/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 09000220A
  • IN License # 28120704A
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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