Rettenmaier, Philip A

Rettenmaier, Philip A is an individual health care provider with primary practice located at 700 Broadway 2Nd Floor, Fort Wayne IN 46802-1402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as his primary health care specialty. Rettenmaier, Philip A can be contacted via phone (260) 424-9000.

Contact Information

Primary practice address
700 Broadway 2Nd Floor Fort Wayne IN 46802-1402
Phone: (260) 424-9000
Fax: (260) 425-3029
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 02001284A Indiana

Profile Details

NPI number 1871593418
LBN Legal business name Rettenmaier, Philip A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Jan 31st, 2018 - about 8 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 1871593418 NPPES
Indiana MEDICAID 200073610

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