MEDICARE: ANALEPTIC ASSOCIATES INC

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	111N00000X	Chiropractor	08000376A	IN
2	213E00000X	Podiatrist	07000302A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000082948	OTHER	IN	PODIATRY ANTHEN
3	000000082947	OTHER	IN	CHIROPRACTIC ANTHEM

General Provider Information

NPI Number	:	1891846283
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANALEPTIC ASSOCIATES INC

Provider Business Mailing Address
First Line	:	5015 RIVIERA CT
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-5805
Country	:	US
Telephone Number	:	260-484-9321
Fax Number	:	260-484-9321

Provider Business Practice Location Address
First Line	:	5015 RIVIERA CT
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-5805
Country	:	US
Telephone Number	:	260-484-9321
Fax Number	:	260-484-9321

Authorized Official
Title or Position	:	PHYSICIAN PRESIDENT
Name	:	DR. OTIS DEE ORR III
Credential	:	DPM DC
Telephone Number	:	260-484-9321

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	01/28/2009

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Directions to “ANALEPTIC ASSOCIATES INC ” Practice Location

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