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NPI Code Detail

MEDICARE: JOHN A VARNER D.O.

MEDICARE: JOHN A VARNER D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician02005549AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1940040077OTHERINMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770578338
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN A VARNER D.O.
Provider Business Mailing Address
First Line : 416 E MAUMEE ST
Second Line :
City : ANGOLA
State : IN
Zip : 46703-2015
Country : US
Telephone Number : 260-667-5131
Fax Number : 260-665-7803
Provider Business Practice Location Address
First Line : 306 E MAUMEE ST STE 104
Second Line :
City : ANGOLA
State : IN
Zip : 46703-2035
Country : US
Telephone Number : 260-675-7885
Fax Number : 260-667-5790
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 01/18/2022

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Directions to “ JOHN A VARNER D.O.” Practice Location

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