Fedder, Andrew A.

Fedder, Andrew A. is an individual health care provider with primary practice located at 78-6831 Ali'I Drive Suite 422, Kailua-Kona HI 96740. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fedder, Andrew A. can be contacted via phone (808) 747-8321.

Contact Information

Primary practice address
78-6831 Ali'I Drive Suite 422 Kailua-Kona HI 96740
Phone: (808) 747-8321
Fax: (808) 323-2119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD13027 Hawaii

Profile Details

NPI number 1588720205
LBN Legal business name Fedder, Andrew A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jun 12th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588720205 NPPES
Hawaii MEDICAID HI03677

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