| Theodore Joseph Daniels, | |
|
2121 Lake Ave, Fort Wayne, IN 46805-5100 | |
| (260) 426-5431 | |
| Not Available |
| Full Name | Theodore Joseph Daniels |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 2121 Lake Ave, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255032041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 27059463A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore Joseph Daniels, 2121 Lake Ave, Fort Wayne, IN 46805-5100 Ph: () - | Theodore Joseph Daniels, 2121 Lake Ave, Fort Wayne, IN 46805-5100 Ph: (260) 426-5431 |
Angela C Despenza, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2717 | |
Tina M Lehman, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2700 | |
Nancy Anne Perry, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-5431 | |
Amy Sue Smith, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-471-6674 | |
Mrs. Alicia Falk, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 336 S Cornell Cir, Fort Wayne, IN 46807 Phone: 260-385-7444 | |
Angie Marie High, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4011 Shannon Dr, Fort Wayne, IN 46835 Phone: 260-403-2382 | |
Roberta D Ingol, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2717 |