DR. WILLIAM LEE SMITS M.D.

Allergy and Immunology

Fort Wayne, Indiana

Provider NPI: 1811950462

Provider Information:
DR. WILLIAM LEE SMITS M.D.


Practice Location:
7222 ENGLE ROAD  FORT WAYNE, IN 46804 US
Tel: 260-432-5005  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	IN	01044372A
N	2080P0201X	Physicians Pediatrics	IN	01044372A
N	2080P0214X	Physicians Pediatrics	IN	01044372A

Other Provider Identifiers:

Issuer	Number	State	Type
CARESOURCE	352007446101		01
ANTHEM BCBS	000000092049		01
CAQH	10786190		01
M-PLAN	000000005310		01
RAILROAD MEDICARE	030003428		01
AETNA	5470020		01
	200062640	IN	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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