Organization
DIABETIC SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA NICOLE BEGLEY (VP OF OPERATIONS)
(260) 497-0912
Entity
Organization
Contact information
Practice address
811 AIRPORT NORTH OFFICE PARK, FORT WAYNE, IN 46825-6711
(260) 497-0912
(260) 497-0704
Mailing address
811 AIRPORT NORTH OFFICE PARK, FORT WAYNE, IN 46825-6711
(260) 497-0912
(260) 497-0704
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097484
ANTHEM PROVIDER NUMBER
IN
Enumeration date
07/15/2005
Last updated
08/22/2020
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