Doctor Name: | LOREN HELMUTH |
NPI Number: | 1023070281 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 17126 |
Business Practice Address: | 207 N. Townline Rd. Lagrange, IN - 467611325 |
Business Phone Number: | 2604632143 |
Business Fax Number: | |
Mailing Address: | 1234 E Dupont Rd, Suite 1 FORT WAYNE |
State: | IN |
Postal Code: | 468251545 |
Phone Number: | 2603739700 |
Fax Number: | 2603739740 |
NPI Enumeration Date: | 04/04/2006 |
NPI Last Update Date: | 03/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 17126 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |