Innovative Professional Service LLC
Innovative Professional Service LLC provides General Practice Physician services in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2012.
- Licensed in
- IN
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3464 Stellhorn RdFort Wayne, IN 46815-4630 Not confirmed with CMS for 14 years — call before visiting
Phone: (260) 432-6508
Fax: (260) 432-6586
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 01025672 (IN) |
|---|
Record details
| NPI number | 1679836910 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Terry Yeiter — Office Manager · (260) 432-6508 |
| NPI enumerated | June 21, 2012 |
| Last updated in NPPES | June 21, 2012 |
| Mailing address | 3464 Stellhorn Rd, Fort Wayne, IN 46815-4630 |
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