Moden, Cassandra

Moden, Cassandra is an individual health care provider with primary practice located at 7635 Antebellum Dr , Fort Wayne IN 46815-6580. She recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as her primary health care specialty. Moden, Cassandra can be contacted via phone (260) 431-1231.

Contact Information

Primary practice address
7635 Antebellum Dr Fort Wayne IN 46815-6580
Phone: (260) 431-1231
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X

Profile Details

NPI number 1346085156
LBN Legal business name Moden, Cassandra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2024
Last updated Jun 25th, 2024 - about 2 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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