National Provider Identifier Database

NORTHEAST INDIANA PEDIATRIC SPECIALISTS PC
Pediatric Infectious Diseases

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.


Contact Information

NORTHEAST INDIANA PEDIATRIC SPECIALISTS, PC
11123 PARKVIEW PLAZA DR
STE # 102
FORT WAYNE, IN46845-1707
Phone: 260-483-0688
Fax: 260-483-0798
Website:
Specialty Taxonomy Code
* Pediatric Infectious Diseases 2080P0208X

* Indicates primary specialty

NPI Profile & details for NORTHEAST INDIANA PEDIATRIC SPECIALISTS, PC

NPI Number 1629267323
Legal business name
LBN
NORTHEAST INDIANA PEDIATRIC SPECIALISTS, PC
Authorized official SHERYL ANDERSON - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 10/18/2007
Last updated 10/18/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 50004150A

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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