Fort Wayne Integrative Medicine

LBN: Fort Wayne Integrative Medicine
Fort Wayne Integrative Medicine is an health care organization with primary practice located at 3919 W Jefferson Blvd , Fort Wayne IN 46804-6811. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Fort Wayne Integrative Medicine can be contacted via phone (260) 475-0772, or through Veerula, Vishaal via phone (260) 475-0772.

Contact Information

Primary practice address
3919 W Jefferson Blvd Fort Wayne IN 46804-6811
Phone: (260) 475-0772
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Veerula, Vishaal Doctor of Medicine (MD)
Phone: (260) 475-0772

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1245686989
LBN Legal business name Fort Wayne Integrative Medicine
DBA Doing business as
Authorized official Veerula, Vishaal Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2016
Last updated Apr 18th, 2018 - about 8 years ago

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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