Indiana Wound Care, P.C.

LBN: Indiana Wound Care, P.C.
Indiana Wound Care, P.C. is an health care organization with primary practice located at 700 Broadway Fl 2 , Fort Wayne IN 46802-1402. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as the primary health care specialty. Indiana Wound Care, P.C. can be contacted via phone (260) 424-9000, or through Ryan, Gail via phone (260) 424-9000.

Contact Information

Primary practice address
700 Broadway Fl 2 Fort Wayne IN 46802-1402
Phone: (260) 424-9000
Fax: (260) 425-3029
Website:
Map and Directions
Authorized official contact:
Name: Ryan, Gail
Phone: (260) 424-9000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 50004525A Indiana

Profile Details

NPI number 1619950185
LBN Legal business name Indiana Wound Care, P.C.
DBA Doing business as
Authorized official Ryan, Gail
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2005
Last updated Jul 19th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619950185 NPPES
Indiana MEDICAID 200437440A
Indiana Other DA1057

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