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Organization

ALLERGY & ASTHMA CENTER, PC

Active
Other names
The Allergy and Asthma Center, PC
Organization subpart
No

Provider details

NPI number
Authorized official
JANEAN FARRELL (PRACTICE ADMINISTRATOR)
(260) 432-5005
Entity
Organization

Contact information

Practice address
7222 ENGLE ROAD, FORT WAYNE, IN 46804-2222
(260) 432-5005
(260) 432-6003
Mailing address
7222 ENGLE ROAD, FORT WAYNE, IN 46804-2222
(260) 432-5005
(260) 432-6003

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
50003931A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000005309
M-PLAN
05
200234350A
IN
01
22000000104747
ANTHEM BCBS
Enumeration date
04/06/2006
Last updated
09/26/2022
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