Adair, Luther Bert

Adair, Luther Bert is an individual health care provider with primary practice located at 5001 Us Highway 30 W Ste D , Fort Wayne IN 46818-9701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Adair, Luther Bert can be contacted via phone (260) 432-1568.

Contact Information

Primary practice address
5001 Us Highway 30 W Ste D Fort Wayne IN 46818-9701
Phone: (260) 432-1568
Fax: (260) 432-4969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 304480 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01070961A Indiana

Profile Details

NPI number 1932316429
LBN Legal business name Adair, Luther Bert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated May 21st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932316429 NPPES
Michigan MEDICAID 1932316429
Michigan MEDICAID 201063880
Michigan MEDICAID 0066830

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