SearchIndiana390200000X

Tristan Chambers

NPI 1164384038 · on the registry since 2025

Practice

Address
916 E Berry St
Fort Wayne, IN 46803
Phone
(260) 440-9206

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
2255A2300X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana