Provider Demographics
NPI:1003134123
Name:APTCARE IN 1
Entity Type:Organization
Organization Name:APTCARE IN 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:OFFERLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-602-9574
Mailing Address - Street 1:11718 WOODSTREAM RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46845-1908
Mailing Address - Country:US
Mailing Address - Phone:260-602-9574
Mailing Address - Fax:
Practice Address - Street 1:11718 WOODSTREAM RIDGE CT
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46845-1908
Practice Address - Country:US
Practice Address - Phone:260-602-9574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-13
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1057913A208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty