<Unavail>

LBN: Credo Health Group, Llc
<Unavail> is an health care organization with primary practice located at 10050 Auburn Park Dr , Fort Wayne IN 46825-2389. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Credo Health Group, Llc can be contacted via phone (260) 432-6459, or through Mullally, Andrew J. via phone (260) 445-5829.

Contact Information

Primary practice address
10050 Auburn Park Dr Fort Wayne IN 46825-2389
Phone: (260) 432-6459
Fax: (260) 240-5284
Website:
Map and Directions
Authorized official contact:
Name: Mullally, Andrew J. Doctor of Medicine (MD)
Phone: (260) 445-5829

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01074259A Indiana

Profile Details

NPI number 1407203672
LBN Legal business name Credo Health Group, Llc
DBA Doing business as <Unavail>
Authorized official Mullally, Andrew J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2016
Last updated Feb 14th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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