THE ALLERGY & ASTHMA CENTER, P.C.
Allergy and Immunology
Fort Wayne, Indiana
Provider NPI: 1386606911
Organization Information:Organization Name: THE ALLERGY & ASTHMA CENTER, P.C.
Practice Location:
7222 ENGLE ROAD FORT WAYNE, IN 46804 US
Tel: 260-432-5005 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:
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 | 50003931A |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 200234350A | IN | 05 | |
| M-PLAN | 000000005309 | 01 | |
| ANTHEM BCBS | 22000000104747 | 01 |
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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