Adams, Mark T

Adams, Mark T is an individual health care provider with primary practice located at 11055 Twin Creeks Cv , Fort Wayne IN 46845-2204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Adams, Mark T can be contacted via phone (260) 425-6120.

Contact Information

Primary practice address
11055 Twin Creeks Cv Fort Wayne IN 46845-2204
Phone: (260) 425-6120
Fax: (260) 425-6115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01030200A Indiana

Profile Details

NPI number 1558312611
LBN Legal business name Adams, Mark T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Oct 20th, 2022 - about 4 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 1558312611 NPPES
Other 000000083931 ANTHEM HEALTH
Other 234172 ANTHEM HEALTH
MEDICAID 100319900 ANTHEM HEALTH

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