Whalio Doctors

NPI 1164457404

Jay Fawver, MD

Practitioner Psychiatry Physician Angola, IN

Practice location

Address
301 E Maumee St, Angola, IN 46703-2012
Phone
(260) 667-5635
Fax
(260) 665-8852
Mailing address
11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Registered specialties

Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 01032403A (IN)

Registry record

NPI
1164457404
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Jul 2006
Record last updated
8 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.