Fedak, Michael J.
Fedak, Michael J. is an individual health care provider with primary practice located at 12301 Snow Rd , Parma OH 44130-1002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fedak, Michael J. can be contacted via phone (216) 524-7377.Contact Information
Primary practice address
12301 Snow Rd
Parma OH 44130-1002
Phone: (216) 524-7377
Fax: (216) 362-2745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35-053962 | Ohio |
Profile Details
| NPI number | 1548375751 |
|---|---|
| LBN Legal business name | Fedak, Michael J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Oct 10th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548375751 | NPPES |
| Ohio | MEDICAID | 0635227 |
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