Individual
CHELSY B. YAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
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
10002078A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01824512
RR PTAN
IN
Enumeration date
07/20/2016
Last updated
09/30/2020
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