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Contact Information

FORT WAYNE DERMATOLOGY CONSULTANTS INC
7881 CARNEGIE BLVD
FORT WAYNE, IN46804-5792
 Phone: 260-436-8000
 Fax: 260-432-5587
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for FORT WAYNE DERMATOLOGY CONSULTANTS INC

NPI Number 1730277583
LBN Legal business name FORT WAYNE DERMATOLOGY CONSULTANTS INC
Authorized official EDWARD SARKISIAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/10/2006
Last updated 09/27/2021 - About 5 years ago
Identifiers
IN Medicaid 200459670A
Other 4463426 AETNA
Other DA4850 MEDICARE RAIL ROAD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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