ORTHOPAEDICS NORTHEAST PC
Surgery Yellow Pages
Fort Wayne, Indiana
Provider NPI: 1740268796
Organization Information:Organization Name: ORTHOPAEDICS NORTHEAST PC
Practice Location:
5050 N CLINTON ST FORT WAYNE, IN 46825 US
Tel: 260-484-8551 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
5050 N CLINTON ST FORT WAYNE, IN 46825 US
Tel: 260-484-8551 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 207X00000X | Physicians Orthopaedic Surgery |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
RAIL RAOD MEDICARE SURG | 490001781 | IN | 01 |
100054960 | IN | 05 | |
RAILROAD MEDICARE | CC5427 | IN | 01 |
RAIL ROAD MEDICARE | CI5112 | IN | 01 |
100274410 | IN | 05 | |
RAIL ROAD MEDICARE | CK0104 | IN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin