Feden, George

Feden, George is an sole proprietor health care provider with primary practice located at 3551 Roger Brooke Dr , Fort Sam Houston TX 78234-4504. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Feden, George can be contacted via phone (210) 539-9567.

Contact Information

Primary practice address
3551 Roger Brooke Dr Fort Sam Houston TX 78234-4504
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071004362 Illinois

Profile Details

NPI number 1740295286
LBN Legal business name Feden, George
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated May 9th, 2018 - about 6 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 1740295286 NPPES
Indiana MEDICAID 100091880
Indiana Other 250330

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