Individual
MR. CHRISTOPHER A FEGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7910 W JEFFERSON BLVD STE 102, FORT WAYNE, IN 46804-4159
(260) 458-3555
(260) 458-3530
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3514
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003719A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970019087
MEDICARE RAILROAD
OH
Enumeration date
07/11/2005
Last updated
08/14/2024
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