Search › Indiana › 207Q00000X
Jeffrey Easley, M.D
NPI 1790756914 · on the registry since 2006 · sole proprietor
Practice
- Address
- 4619 Covington Rd.
Fort Wayne, IN 46804 - Phone
- (419) 605-8668
- Fax
- (419) 232-4498
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-01-17
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