| David T Holmes Md Pc | |
|
7224 Engle Rd # 120 Fort Wayne IN 46804-2222 | |
| (260) 459-1100 | |
| Not Available |
| Full Name | David T Holmes Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 7224 Engle Rd # 120, Fort Wayne, Indiana |
| Authorized Official Name and Position | David T Holmes (PRESIDENT) |
| Authorized Official Contact | 2604591100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David T Holmes Md Pc 7224 Engle Rd # 120 Fort Wayne IN 46804-2222 Ph: (260) 459-1100 | David T Holmes Md Pc 7224 Engle Rd # 120 Fort Wayne IN 46804-2222 Ph: (260) 459-1100 |
| NPI Number | 1023233939 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 05/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023233939 | NPI | - | NPPES |
| 260048997 | Other | IN | RAILROAD MEDICARE |
| 200361790A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01055252A (Indiana) | Primary |
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