Louise, Mable-Gene
Louise, Mable-Gene is an sole proprietor health care provider with primary practice located at 5111 N Bend Dr , Fort Wayne IN 46804-1753. She recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist, Agencies / In Home Supportive Care, Nursing Service Related Providers / Nurse's Aide, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Louise, Mable-Gene can be contacted via phone (260) 436-8807.Contact Information
Primary practice address
5111 N Bend Dr
Fort Wayne IN 46804-1753
Phone: (260) 436-8807
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist | 225A00000X | ||
| Agencies / In Home Supportive Care | 253Z00000X | ||
| Nursing Service Related Providers / Nurse's Aide | 376K00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT22107337 | Indiana |
Profile Details
| NPI number | 1457079857 |
|---|---|
| LBN Legal business name | Louise, Mable-Gene |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2022 |
| Last updated | Aug 22nd, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457079857 | NPPES |
| Indiana | Other | 450230-06 | BCTMB |
| Indiana | Other | LCEU0002762 | BCTMB |
| Indiana | Other | MT22107337 | BCTMB |
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