Fedele, Stephen

Fedele, Stephen is an sole proprietor health care provider with primary practice located at 105 N 20Th St 20Th St Clinic Pc, Battle Creek MI 49015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fedele, Stephen can be contacted via phone (269) 969-6010.

Contact Information

Primary practice address
105 N 20Th St 20Th St Clinic Pc Battle Creek MI 49015
Fax: (269) 964-8422
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101004673 Michigan

Profile Details

NPI number 1033171699
LBN Legal business name Fedele, Stephen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2006
Last updated Nov 30th, 2007 - about 17 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 1033171699 NPPES
Michigan Other CJ8333 RR MCR
Michigan Other 5130499 RR MCR

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