Brooklyn Medical Associates, PC
Organization Active NPI Family Medicine Physician · Kendallville, IN
NPI 1366481699 · NPPES record last updated Nov 6, 2007
Key facts
- NPI
- 1366481699
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 50000594A (IN)
- Legal business name
- BROOKLYN MEDICAL ASSOCIATES, PC
- Practice address
- 326 Sawyer Rd
Kendallville, IN 46755-2573 - Phone
- (260) 747-6171
- Fax
- (260) 478-5125
- NPI assigned
- Jun 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Bill Ehinger
- Title
- Ceo
- Phone
- (260) 478-5226
Member of 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 50000594A | IN | Yes |
Addresses
Primary practice location
326 Sawyer Rd
Kendallville, IN 46755-2573
Mailing address
3534 Brooklyn Ave
Fort Wayne, IN 46809-1361
Phone (260) 747-6171
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.