NPI 1639899297
Fred Benson, OWNER
Practice location
- Address
- 2478 Lake Ave, Fort Wayne, IN 46805-5406
- Phone
- (260) 387-6396
- Fax
- (260) 387-6370
Registered specialties
Licensed Vocational Nurse
Primary
Registry record
- NPI
- 1639899297
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Sep 2022
- Record last updated
- 1 Sep 2022
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.