Individual
JACOB M FAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4150 ILLINOIS RD, FORT WAYNE, IN 46804-1208
(260) 702-3752
(260) 702-3752
Mailing address
4150 ILLINOIS RD, FORT WAYNE, IN 46804-1208
(260) 702-3752
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002631A
IN
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us