institution
Ent Realty Corp
Ambulatory Surgical Clinic/Center in Fort Wayne, Indiana
NPI 1588640353

Ent Realty Corp is an Ambulatory Surgical Clinic/Center based in Fort Wayne, IN and is specialized in Ambulatory Surgical. Ent Realty Corp practices in Fort Wayne, IN. The NPI Number for Ent Realty Corp is 1588640353 and holds a License No. (Indiana).

The current practice location address for Ent Realty Corp is 7900 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-432-4368 and via fax at 260-436-6283.

Location: 7900 W Jefferson Blvd, Fort Wayne, IN, 46825-1604
institution
Provider Profile Details
NPI Number
1588640353
Provider Name
Ent Realty Corp
Credential
Provider Entity Type
Organization
Address
7900 W Jefferson Blvd, Fort Wayne, IN, 46825-1604
Phone Number
260-432-4368
Fax Number
260-436-6283
Provider Enumeration Date
12/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200138850 05 IN
institution
Provider Business Practice Location Address Details
Address
7900 W Jefferson Blvd
City
State
Zip
46804-4128
Phone Number
260-432-4368
Fax Number
260-436-6283
person
Provider Business Mailing Address Details
Address
7900 W Jefferson Blvd
City
State
Zip
46804-4128
Phone Number
260-432-4368
Fax Number
260-436-6283
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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