Organization · Type 2 NPI
Healthy Schools Indiana LLC
General Practice Physician · Fort Wayne, IN
NPI number
1871074732
Active
Practice location
6605 E State Blvd Ste 9
Fort Wayne, IN 46815-7036
Mailing address
3546 Saint Johns Bluff Rd S Unit 113
Jacksonville, FL 32224-2714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1871074732
Healthy Schools Indiana LLC's National Provider Identifier is 1871074732, issued on Aug 28, 2018. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 28, 2018.