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Dr. Benny Fair JR., DPM
Podiatrist in Fort Wayne, Indiana
NPI 1295838365

Benny Fair JR. is a Podiatrist based in Fort Wayne, IN. Benny Fair JR. practices in Fort Wayne, IN and has the professional credentials of DPM. The NPI Number for Benny Fair JR. is 1295838365 and holds a License No. 07000728 (Indiana).

The current practice location address for Benny Fair JR. is 2700 Lafayette St, Fort Wayne, IN and can be reached out via phone at 260-458-9953 and via fax at 260-458-9238. You can also correspond with Benny Fair JR. through the mailing address at 2700 LAFAYETTE ST, FORT WAYNE, IN - 46806-1100 (mailing address contact number: 260-458-9953).

Location: 2700 Lafayette St, Fort Wayne, IN, 46806-1100
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Provider Profile Details
NPI Number
1295838365
Provider Name
Benny Fair JR.
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2700 Lafayette St, Fort Wayne, IN, 46806-1100
Phone Number
260-458-9953
Fax Number
260-458-9238
Provider Enumeration Date
09/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00128864 01 RR MEDICARE
100082090A 05 IN
000000331259 01 BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
2700 Lafayette St
City
State
Zip
46806-1100
Phone Number
260-458-9953
Fax Number
260-458-9238
person
Provider Business Mailing Address Details
Address
2700 Lafayette St
City
State
Zip
46806-1100
Phone Number
260-458-9953
Fax Number
260-458-9238
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
07000728 (Indiana)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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