Organization Name: | APTCARE IN 1 |
NPI Number: | 1003134123 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDREW JOSEPH OFFERLE (PRESIDENT) |
Mailing Address: | 11718 Woodstream Ridge Ct Fort Wayne |
State: | IN US |
Postal Code: | 468451908 |
Phone Number: | 2606029574 |
Fax Number: | |
NPI Enumeration Date: | 05/13/2010 |
NPI Last Update Date: | 10/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 1057913A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |