Super Shot Inc
Super Shot Inc is a Public Health or Welfare Agency in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2010.
- Licensed in
- IN
- In the registry since
- 2010
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1515 Hobson RdFort Wayne, IN 46805-4802
Phone: (260) 424-7468
Fax: (260) 739-5623
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Public Health or Welfare Agency (primary) | Taxonomy 251K00000X · Licence N/A (IN) |
|---|
Record details
| NPI number | 1427373372 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Connie Heflin — Executive Director · (260) 424-7468 |
| NPI enumerated | April 5, 2010 |
| Last updated in NPPES | May 8, 2024 |
| Certification date | May 8, 2024 |
| Mailing address | 1515 Hobson Rd, Fort Wayne, IN 46805-4802 |
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