NPI 1568417368

Bradford Noll, MD

Practitioner Personal Emergency Response Attendant Fort Wayne, IN

Practice location

Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140
Phone: (260) 435-7001
Fax: (260) 407-8008
Mailing address: 58 Hathaway Ave, Beverly, MA 01915-1438

Registered specialties

Personal Emergency Response Attendant Primary

Emergency Medical Service Providers Taxonomy 146D00000X

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Registry record

NPI: 1568417368
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 May 2006
Record last updated: 24 Jan 2012

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.