MEDICARE: NOMORECLIPBOARD, LLC

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
1	247000000X	Health Information Technician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3728148	OTHER		NMCMD

General Provider Information

NPI Number	:	1285965822
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOMORECLIPBOARD, LLC

Provider Business Mailing Address
First Line	:	6312 CONSTITUTION DRIVE
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804
Country	:	US
Telephone Number	:	260-969-4642
Fax Number	:	260-969-6020

Provider Business Practice Location Address
First Line	:	6312 CONSTITUTION DRIVE
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804
Country	:	US
Telephone Number	:	260-969-4642
Fax Number	:	260-969-6020

Authorized Official
Title or Position	:	CHIEF MARKETING OFFICER
Name	:	MR. JEFF DONNELL
Credential	:
Telephone Number	:	260-969-4642

Provider Enumeration Date	:	01/21/2010
Last Update Date	:	06/01/2010

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Directions to “NOMORECLIPBOARD, LLC ” Practice Location

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