Qhg of Fort Wayne Company LLC

NPI #1619918026 in Fort Wayne, Indiana

Provider Information

NPI Number: 1619918026
Entity Type: Organization
Organization Name: Qhg of Fort Wayne Company LLC
Primary Specialty: General Practice
Enumeration Date: Jun 8, 2006
Last Updated: Oct 1, 2024

Practice Location

Address: 7333 W JEFFERSON BLVD
City: Fort Wayne
State: Indiana
ZIP Code: 46804-6280
Phone: (260) 458-3843

Authorized Official

Name: KRISTINA MUSIC
Title: DIRECTOR, PROVIDER ENROLLMENT
Phone: (615) 465-7377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
General Practice	208D00000X	Primary

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