Provider Demographics
NPI:1891806402
Name:FW TOENGES & SONS, INC.
Entity Type:Organization
Organization Name:FW TOENGES & SONS, INC.
Other - Org Name:FRED TOENGES SHOES & PEDORTHICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:
Authorized Official - Last Name:TOENGES
Authorized Official - Suffix:
Authorized Official - Credentials:CP, CPED
Authorized Official - Phone:260-484-4742
Mailing Address - Street 1:3914 W. JEFFERSON BLVD.
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46804-6812
Mailing Address - Country:US
Mailing Address - Phone:260-484-4742
Mailing Address - Fax:260-484-6368
Practice Address - Street 1:3914 W. JEFFERSON BLVD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46804-6812
Practice Address - Country:US
Practice Address - Phone:260-484-4742
Practice Address - Fax:260-484-6368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000097076OtherANTHEM BLUE CROSS/BLUE SH
IN000000097076OtherUNICARE
IN000000097076OtherUNITED FOOD & COMMERICIAL
IN0472740001OtherTODAY'S OPTIONS
IN128626500OtherUS DEPT OF LABOR
IN20306OtherPHPNI
IN7479546OtherAETNA
IN10013620AMedicaid
IN100156320CMedicaid
IN20306OtherPHP
INFRC36700OtherCHILDRENS W SPECIAL HEALT
IN20306OtherPHP MANAGEMENT SYSTES
IN000000097076OtherANTHEM BLUE CROSS/BLUE SH
IN128626500OtherUS DEPT OF LABOR