Carl John Fedyszyn, M.D.,P.C.

LBN: Carl John Fedyszyn, M.D.,P.C.
Carl John Fedyszyn, M.D.,P.C. is an health care organization with primary practice located at 4550 47Th St S Apt 102 , Fargo ND 58104-4360. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Carl John Fedyszyn, M.D.,P.C. can be contacted via phone (701) 330-9616, or through Fedyszyn, Carl John via phone (701) 330-9616.

Contact Information

Primary practice address
4550 47Th St S Apt 102 Fargo ND 58104-4360
Phone: (701) 330-9616
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fedyszyn, Carl John Doctor of Medicine (MD)
Phone: (701) 330-9616

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7326 North Dakota

Profile Details

NPI number 1679619860
LBN Legal business name Carl John Fedyszyn, M.D.,P.C.
DBA Doing business as
Authorized official Fedyszyn, Carl John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2007
Last updated Apr 20th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679619860 NPPES
North Dakota MEDICAID 12146

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