Individual
EMILY CLAUSSEN ELKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 482-4440
Mailing address
608 UNION CHAPEL RD, FORT WAYNE, IN 46845-9357
(260) 482-4440
(260) 482-4442
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.003267
OH
363AM0700X
Medical Physician Assistant
Primary
10001322A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000739175
ANTHEM
IN
01
—
35-1783322
SAGAMORE
IN
01
—
351783322
PHP
IN
Enumeration date
04/14/2011
Last updated
04/29/2024
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