Organization
ROBERT J. DENYSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J. DENYSE (OWNER)
(260) 426-3409
Entity
Organization
Contact information
Practice address
217 W WAYNE ST, FORT WAYNE, IN 46802-3605
(260) 426-3409
(260) 426-0127
Mailing address
217 W WAYNE ST, FORT WAYNE, IN 46802-3605
(260) 426-3409
(260) 426-0127
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
23002372A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200520080A
—
IN
Enumeration date
12/22/2011
Last updated
01/10/2012
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