Individual
JOSEPH COMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7601 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4133
(260) 436-8686
(260) 459-0036
Mailing address
PO BOX 2526, FORT WAYNE, IN 46801-2526
(260) 436-8686
(260) 432-5075
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001756A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000899242
ANTHEM
IN
Enumeration date
09/18/2014
Last updated
11/14/2016
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