Innovative Professional Service Llc - Primary Care in Fort Wayne, IN

Innovative Professional Service Llc is a primary clinic (General Practice) in Fort Wayne, Indiana. The current practice location for Innovative Professional Service Llc is 3464 Stellhorn Rd, Fort Wayne, Indiana. For appointments, you can reach them via phone at (260) 432-6508. The mailing address for Innovative Professional Service Llc is 3464 Stellhorn Rd, Fort Wayne, Indiana and phone number is (260) 432-6508.

Innovative Professional Service Llc is licensed to practice in Indiana (license number 01025672) and its NPI number is 1679836910. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (260) 432-6508.

Contact Information

Innovative Professional Service Llc
3464 Stellhorn Rd
Fort Wayne
IN 46815-4630
(260) 432-6508
(260) 432-6586

Primary Care Clinic Profile

Full NameInnovative Professional Service Llc
SpecialityGeneral Practice
Location3464 Stellhorn Rd, Fort Wayne, Indiana
Authorized Official Name and PositionTerry Yeiter (OFFICE MANAGER)
Authorized Official Contact2604326508
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Innovative Professional Service Llc
3464 Stellhorn Rd
Fort Wayne
IN 46815-4630

Ph: (260) 432-6508
Innovative Professional Service Llc
3464 Stellhorn Rd
Fort Wayne
IN 46815-4630

Ph: (260) 432-6508

NPI Details:

NPI Number1679836910
Provider Enumeration Date06/21/2012
Last Update Date06/21/2012

Medical Identifiers

Medical identifiers for Innovative Professional Service Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679836910NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 01025672 (Indiana)Primary

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