Indiana Epilepsy and Child Neurology, Inc
Indiana Epilepsy and Child Neurology, Inc is a Neurology with Special Qualifications in Child Neurology Physician in Fort Wayne, Indiana. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4310 Lake AveFort Wayne, IN 46815-7222
Phone: (260) 426-9996
Fax: (260) 426-9996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neurology with Special Qualifications in Child Neurology Physician (primary) | Taxonomy 2084N0402X |
|---|
Record details
| NPI number | 1871668582 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Don Stauffer — Vice President · (260) 426-9996 |
| NPI enumerated | November 21, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 4310 Lake Ave, Fort Wayne, IN 46815-7222 |
Other providers in Fort Wayne
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Jason A Santiago, MD
7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 · (260) 436-2416