Organization · NPI-2

Allied Physicians INC

Neurological Surgery · Fort Wayne, IN

NPI number1265601041

StatusActive

Last updated in NPPESOct 17, 2019

Details

NPI: 1265601041
Entity type: Organization (NPI-2)
Legal business name: Allied Physicians INC
Organization subpart: No
Enumeration date: Feb 26, 2008
Last updated: Oct 17, 2019

Taxonomy and licenses

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

Other names

Fort Wayne Neurological Center (Doing Business As)

Practice location

2512 E Dupont Rd Ste 120
Fort Wayne, IN 46825-1609

Phone 260-436-2416 · Fax 260-436-6936

Mailing address

7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Phone 260-436-2416

Other practice locations

7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Phone 260-436-2416

Authorized official

Donald Ray Shook
Ceo
2603994704

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