Organization · NPI-2

Allied Physicians INC

Psychiatry & Neurology, Neurology · Fort Wayne, IN

NPI number1124297379

StatusActive

Last updated in NPPESFeb 21, 2008

Details

NPI: 1124297379
Entity type: Organization (NPI-2)
Legal business name: Allied Physicians INC
Organization subpart: No
Enumeration date: Feb 21, 2008
Last updated: Feb 21, 2008

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2084N0400X	Psychiatry & Neurology, Neurology	–	–	Yes
207T00000X	Neurological Surgery	–	–
208100000X	Physical Medicine & Rehabilitation	–	–
363A00000X	Physician Assistant	–	–
363L00000X	Nurse Practitioner	–	–

Other names

Fort Wayne Neurological Center (Doing Business As)

Practice location

2622 Lake Ave
Fort Wayne, IN 46805-5410

Phone 260-460-3100 · Fax 260-460-3130

Mailing address

2622 Lake Ave
Fort Wayne, IN 46805-5410

Phone 260-460-3100 · Fax 260-460-3130

Authorized official

Stephen R. Smith
Ceo
2604603100

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