| Qhg Of Fort Wayne Company Llc | |
|
7333 W Jefferson Blvd Fort Wayne IN 46804-6280 | |
| (260) 435-7334 | |
| Not Available |
| Full Name | Qhg Of Fort Wayne Company Llc |
|---|---|
| Speciality | General Practice |
| Location | 7333 W Jefferson Blvd, 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 |
|---|---|
| Qhg Of Fort Wayne Company Llc 7100 Commerce Way Suite 180 Brentwood TN 37027-2829 Ph: () - | Qhg Of Fort Wayne Company Llc 7333 W Jefferson Blvd Fort Wayne IN 46804-6280 Ph: (260) 435-7334 |
| NPI Number | 1518909985 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 02/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518909985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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