Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS J BENNETT, PA-C
ActivePhysician Assistant · FORT WAYNE, IN
Registration Details
- NPI Number
- 1336649383
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 16, 2018 (8.189429951341 yrs)
- Last Updated
- Feb 16, 2018
- Licenses
-
10002413A (IN)10002413A (IN)
Practice Information
- Address
-
7950 W JEFFERSON BLVDFORT WAYNE, IN, 468044140Browse IN providers · Browse ZIP 46804
- Phone
- 2602039600
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
Other Physician Assistant Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| BRIAN T LAURSEN | P.A. | 1164425187 |
| GRETCHEN L CRAMPTON | P.A. | 1275536211 |
| DEBORAH S CASTILE | P.A. | 1699778753 |
| MR. CHRISTOPHER A FEGLEY | PA | 1003814476 |
| DARLENE K HOOVER | PA-C | 1184625527 |
| JENNIFER R. HOCKEMEYER | PA | 1376545111 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.