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NPI Code Detail

MEDICARE: DR. JACQUELINE LEIGH AKEY MD

MEDICARE: DR. JACQUELINE LEIGH AKEY MD
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
1207Q00000XFamily Medicine Physician01036764AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00698402OTHERINRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2000000595564OTHERINANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770698623
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACQUELINE LEIGH AKEY MD
Provider Business Mailing Address
First Line : 1234 E DUPONT RD
Second Line : SUITE 1
City : FORT WAYNE
State : IN
Zip : 46825-1545
Country : US
Telephone Number : 260-373-9700
Fax Number : 260-373-9740
Provider Business Practice Location Address
First Line : 306 E MAUMEE ST STE 303
Second Line :
City : ANGOLA
State : IN
Zip : 46703-2044
Country : US
Telephone Number : 260-665-8494
Fax Number : 260-667-5564
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 11/26/2018

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Directions to “ DR. JACQUELINE LEIGH AKEY MD” Practice Location

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