Wellman, Cynthia L
Wellman, Cynthia L is an individual health care provider with primary practice located at 2200 Randallia Dr , Fort Wayne IN 46805. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is her primary health care specialty. Wellman, Cynthia L can be contacted via phone (260) 373-6070.Contact Information
Primary practice address
2200 Randallia Dr
Fort Wayne IN 46805
Phone: (260) 373-6070
Fax: (260) 373-6704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | 01039378A | Indiana |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 01039378A | Indiana |
Profile Details
| NPI number | 1588665822 |
|---|---|
| LBN Legal business name | Wellman, Cynthia L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Oct 7th, 2022 - about 4 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 | 1588665822 | NPPES |
| Indiana | MEDICAID | 100378040A | |
| Indiana | MEDICAID | 0425810 |
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