SearchIndiana183500000X

Deborah Roos

NPI 1952947921 · on the registry since 2019 · sole proprietor

Practice

Address
4120 N Clinton St
Fort Wayne, IN 46805
Phone
(260) 483-3185
Fax
(260) 969-5929
Organisation at this address
Kroger Limited Partnership I
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Additional practice sites

  • 5510 Monarch Dr, Fort Wayne, IN

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-11-25

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