Qhg of Fort Wayne Company LLC
NPI #1518909985 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1518909985
- Entity Type
- Organization
- Organization Name
- Qhg of Fort Wayne Company LLC
- Primary Specialty
- General Practice
- Enumeration Date
- Jun 12, 2006
- Last Updated
- Feb 27, 2008
Practice Location
- Address
- 7333 W JEFFERSON BLVD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-6280
- Phone
- (260) 435-7334
Authorized Official
- Name
- DEBBIE T BREWER
- Title
- DIRECTOR OF PROVIDER ENROLLMENT
- Phone
- (615) 465-7626
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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