Qhg Of Fort Wayne Company Llc | |
3717 Maplecrest Rd Fort Wayne IN 46815-8424 | |
(260) 486-7334 | |
Not Available |
Full Name | Qhg Of Fort Wayne Company Llc |
---|---|
Speciality | General Practice |
Location | 3717 Maplecrest Rd, Fort Wayne, Indiana |
Authorized Official Name and Position | Debbie T Brewer (DIRECTOR OF PROVIDER ENROLLMENT) |
Authorized Official Contact | 6154657626 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Qhg Of Fort Wayne Company Llc 7100 Commerce Way Suite 180 Brentwood TN 37027-2829 Ph: () - | Qhg Of Fort Wayne Company Llc 3717 Maplecrest Rd Fort Wayne IN 46815-8424 Ph: (260) 486-7334 |
NPI Number | 1083656573 |
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Provider Enumeration Date | 06/11/2006 |
Last Update Date | 02/27/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083656573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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