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Super Shot Inc.
Public Health or Welfare Agency in Fort Wayne, Indiana
NPI 1427373372

Super Shot Inc. is a Public Health or Welfare Agency based in Fort Wayne, IN. Super Shot Inc. practices in Fort Wayne, IN. The NPI Number for Super Shot Inc. is 1427373372 and holds a License No. N/A (Indiana).

The current practice location address for Super Shot Inc. is 1515 Hobson Rd, Fort Wayne, IN and can be reached out via phone at 260-424-7468 and via fax at 260-739-5623.

Location: 1515 Hobson Rd, Fort Wayne, IN, 46805-4802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427373372
Provider Name
Super Shot Inc.
Credential
Provider Entity Type
Organization
Address
1515 Hobson Rd, Fort Wayne, IN, 46805-4802
Phone Number
260-424-7468
Fax Number
260-739-5623
Provider Enumeration Date
04/05/2010
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200977620A 05 IN
institution
Provider Business Practice Location Address Details
Address
1515 Hobson Rd
City
Fort Wayne
State
Indiana
Zip
46805-4802
Phone Number
260-424-7468
Fax Number
260-739-5623
person
Provider Business Mailing Address Details
Address
1515 Hobson Rd
City
Fort Wayne
State
Indiana
Zip
46805-4802
Phone Number
260-424-7468
Fax Number
260-739-5623
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
N/A (Indiana)
Definition
Definition to come...
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