Lagrange, Judy

Lagrange, Judy is an individual health care provider with primary practice located at 1234 E Dupont Rd Ste 7, Fort Wayne IN 46825-1545. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Lagrange, Judy can be contacted via phone (260) 490-0940.

Contact Information

Primary practice address
1234 E Dupont Rd Ste 7 Fort Wayne IN 46825-1545
Fax: (260) 490-5063
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 05007944A Indiana

Profile Details

NPI number 1184711889
LBN Legal business name Lagrange, Judy
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 9th, 2007 - about 19 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 1184711889 NPPES
Indiana Other 000000346620 ANTHEM PIN

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