Van's Consulting Services, P.c. | |
1415 Magnavox Way Suite 120 Fort Wayne IN 46804-1565 | |
(260) 471-7800 | |
Not Available |
Full Name | Van's Consulting Services, P.c. |
---|---|
Speciality | Social Worker - Clinical |
Location | 1415 Magnavox Way, Fort Wayne, Indiana |
Authorized Official Name and Position | Tamara Lynne Vanbaalen (PRESIDENT) |
Authorized Official Contact | 2604717800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Van's Consulting Services, P.c. 1415 Magnavox Way Suite 120 Fort Wayne IN 46804-1565 Ph: () - | Van's Consulting Services, P.c. 1415 Magnavox Way Suite 120 Fort Wayne IN 46804-1565 Ph: (260) 471-7800 |
NPI Number | 1548472764 |
---|---|
Provider Enumeration Date | 05/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548472764 | NPI | - | NPPES |
000000341875 | Other | IN | ANTHEM BCBS |
030305 | Other | IN | MHN TRICARE |
7733638 | Other | IN | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34003564A (Indiana) | Primary |
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