| Amy E Dunn Llc | |
|
10315 Dawsons Creek Blvd Ste E Fort Wayne IN 46825-1912 | |
| (260) 373-6340 | |
| Not Available |
| Full Name | Amy E Dunn Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10315 Dawsons Creek Blvd Ste E, Fort Wayne, Indiana |
| Authorized Official Name and Position | Mary Arnold (BILLING MANAGER) |
| Authorized Official Contact | 2603876340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy E Dunn Llc 10315 Dawsons Creek Blvd Ste E Fort Wayne IN 46825-1912 Ph: () - | Amy E Dunn Llc 10315 Dawsons Creek Blvd Ste E Fort Wayne IN 46825-1912 Ph: (260) 373-6340 |
| NPI Number | 1720605090 |
|---|---|
| Provider Enumeration Date | 07/02/2020 |
| Last Update Date | 07/02/2020 |
| Certification Date | 07/02/2020 |
| Medicare PECOS PAC ID | 5294151205 |
|---|---|
| Medicare Enrollment ID | O20200820001001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720605090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amy E Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356500151 PECOS PAC ID: 7810055324 Enrollment ID: I20081027000679 |
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