| Mapps | |
|
3010 E. State Blvd Ste 100 Fort Wayne IN 46805 | |
| (260) 471-0632 | |
| (260) 471-3451 |
| Full Name | Mapps |
|---|---|
| Speciality | Counselor |
| Location | 3010 E. State Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Don A Marshall (OWNER) |
| Authorized Official Contact | 2604567261 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mapps 3010 E State Blvd Sutie A Fort Wayne IN 46805-4700 Ph: (260) 471-0632 | Mapps 3010 E. State Blvd Ste 100 Fort Wayne IN 46805 Ph: (260) 471-0632 |
| NPI Number | 1336190149 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 03/02/2018 |
| Medicare PECOS PAC ID | 1052588241 |
|---|---|
| Medicare Enrollment ID | O20120111000104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336190149 | NPI | - | NPPES |
| 200200260A | Medicaid | IN |
| Provider Name | Don A Marshall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144274275 PECOS PAC ID: 0648317917 Enrollment ID: I20091020000398 |
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