Page, Todd Robert

Page, Todd Robert is an individual health care provider with primary practice located at 5501 Us Highway 30 W , Fort Wayne IN 46818-8998. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Page, Todd Robert can be contacted via phone (260) 270-6181.

Contact Information

Primary practice address
5501 Us Highway 30 W Fort Wayne IN 46818-8998
Phone: (260) 270-6181
Fax: (260) 469-1022
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01047310 Indiana

Profile Details

NPI number 1184622367
LBN Legal business name Page, Todd Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jun 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184622367 NPPES
Indiana Other 5988752 AETNA
Indiana Other 15D0962889 AETNA
Indiana MEDICAID 200218780A AETNA
Indiana Other 01047310 AETNA

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