Ludwig, Jerome

Ludwig, Jerome is an individual health care provider with primary practice located at 2512 E Dupont Rd Suite 100, Fort Wayne IN 46825-1675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Ludwig, Jerome can be contacted via phone (260) 436-6667.

Contact Information

Primary practice address
2512 E Dupont Rd Suite 100 Fort Wayne IN 46825-1675
Phone: (260) 436-6667
Fax: (260) 469-7437
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 01023713A Indiana
Allopathic & Osteopathic Physicians / Urology 208800000X 35038124L Ohio

Profile Details

NPI number 1568439180
LBN Legal business name Ludwig, Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Jul 8th, 2011 - about 15 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 1568439180 NPPES
Indiana Other 000000087513 BLUE CROSS BLUE SHIELD
Indiana MEDICAID 0288817 BLUE CROSS BLUE SHIELD
Indiana MEDICAID 100401240 BLUE CROSS BLUE SHIELD
Indiana Other 340010558 BLUE CROSS BLUE SHIELD

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