IndividualActive
Aeden Ligon
NPI 1003666470 · Sports Medicine (Emergency Medicine) Physician · Fort Wayne, IN
Provider details
- NPI number
- 1003666470
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 36003793A (IN)
Practice location
9216 Crystal Spring Dr
Fort Wayne, IN 46804-6510
Phone: (765) 480-9828
Mailing address
9216 Crystal Spring Dr
Fort Wayne, IN 46804-6510
Registry dates
- Enumerated
- 2024-03-26
- Last updated
- 2024-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.