Stephen J. Schreck
Otolaryngologist (ENT Doctor)
10021 Dupont Circle Ct
Fort Wayne
, Indiana 46825-1604
Stephen J. Schreck
Otolaryngologist (ENT Doctor)
10021 Dupont Circle Ct
Fort Wayne
, Indiana 46825-1604
(260) 420-0817
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Stephen J. Schreck
- 10021 Dupont Circle Ct
- Fort Wayne, IN
- Zip : 46825-1604
- Fax : (260) 420-0817
- Phone : (260) 426-8117
Second Address
- Stephen J. Schreck
- 10021 Dupont Circle Ct
- Fort Wayne, IN
- Zip : 46825-1604
- Fax : (260) 420-0817
- Phone : (260) 426-8117
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 01052289A | IN |
National Provider Identifier
| NPI | 1053313023 |
|---|---|
| Provider Name | Stephen J. Schreck |
| First Address | Fort Wayne, IN 46825-1604 |
| Second Address | Fort Wayne, IN 46825-1604 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2005 |
| Last Update Date | 20/06/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200378540 | (05) | IN |
| 2317086 | (05) | OH |
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.