NPI 1245665520

Thomas Franklin Pequignot, DDSCCN

Practitioner Nutritionist Fort Wayne, IN

Practice location

Address: 11017 Bittersweet Dells Ln, Fort Wayne, IN 46814-8155
Phone: (260) 672-3266
Fax: (260) 672-3266

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence 6420 (IN)

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Registry record

NPI: 1245665520
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Sep 2013
Record last updated: 5 Sep 2013

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.