Individual
CHRISTOPHER CARLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R-PAC
Contact information
Practice address
3909 NEW VISION DR, FORT WAYNE, IN 46845-1725
(260) 469-6610
(260) 969-3065
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
093651
NY
363A00000X
Physician Assistant
Primary
10022080A
IN
Other
Enumeration date
07/26/2006
Last updated
04/27/2023
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