Indiana Epilepsy and Child Neurology, Inc
Indiana Epilepsy and Child Neurology, Inc provides Neurology with Special Qualifications in Child Neurology Physician services in Fort Wayne, Indiana. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4310 Lake AveFort Wayne, IN 46815-7222
Phone: (260) 426-9996
Fax: (260) 426-9996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neurology with Special Qualifications in Child Neurology Physician (primary) | Taxonomy 2084N0402X |
|---|
Record details
| NPI number | 1871668582 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Don Stauffer — Vice President · (260) 426-9996 |
| NPI enumerated | November 21, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 4310 Lake Ave, Fort Wayne, IN 46815-7222 |
Other providers in Fort Wayne
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Jason A Santiago, MD
7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 · (260) 436-2416