Samuel R Eby
Nephrologist
7836 W Jefferson Blvd Ste 100
Fort Wayne
, Indiana 46804-4165
Samuel R Eby
Nephrologist
7836 W Jefferson Blvd Ste 100
Fort Wayne
, Indiana 46804-4165
(630) 575-5000
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Samuel R Eby
- 120 W 22nd St Ste 200
- Oak Brook, IL
- Zip : 60523-1563
- Phone : (630) 575-5000
Second Address
- Samuel R Eby
- 7836 W Jefferson Blvd Ste 100
- Fort Wayne, IN
- Zip : 46804-4165
- Fax : (260) 969-0188
- Phone : (260) 494-3484
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | 01032985 | IN |
National Provider Identifier
| NPI | 1043262447 |
|---|---|
| Provider Name | Samuel R Eby |
| First Address | Oak Brook, IL 60523-1563 |
| Second Address | Fort Wayne, IN 46804-4165 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2006 |
| Last Update Date | 16/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100085970 | (05) | IN |
| D95304 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.