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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, P.C.

NPI # 1619950185
LBN Legal business name INDIANA WOUND CARE, P.C.
Authorized official GAIL RYAN - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/29/2005
Last updated 07/19/2010 - About 16 years ago
Identifiers
IN License # 50004525A
IN Medicaid 200437440A
IN Other DA1057 MEDICARE RAILROAD
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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