Organization · NPI-2
Allied Physicians INC
Neurological Surgery · Fort Wayne, IN
NPI number1205098100
StatusActive
Last updated in NPPESDec 7, 2018
Details
- NPI
- 1205098100
- Entity type
- Organization (NPI-2)
- Legal business name
- Allied Physicians INC
- Organization subpart
- No
- Enumeration date
- Jul 1, 2008
- Last updated
- Dec 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | – | – | Yes |
| 103G00000X | Clinical Neuropsychologist | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 208100000X | Physical Medicine & Rehabilitation | – | – | |
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
7956 W Jefferson BlvdFort Wayne, IN 46804-4140
Phone 260-436-2416
Mailing address
7956 W Jefferson BlvdFort Wayne, IN 46804-4140
Phone 260-436-2416
Other practice locations
140 Fox Rd Ste 209
Van Wert, OH 45891-2492
Van Wert, OH 45891-2492
Phone 260-436-2416
Authorized official
Isa S Canavati
President
2604362416
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