Fedok, Fred G

Fedok, Fred G is an individual health care provider with primary practice located at 113 E Fern Ave , Foley AL 36535-2806. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is his primary health care specialty. Fedok, Fred G can be contacted via phone (251) 943-6003.

Contact Information

Primary practice address
113 E Fern Ave Foley AL 36535-2806
Phone: (251) 943-6003
Fax: (251) 943-2429
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD028333E Pennsylvania
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X 15147 Alabama
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 15147 Alabama

Profile Details

NPI number 1760449656
LBN Legal business name Fedok, Fred G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 21st, 2022 - about 2 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 1760449656 NPPES
Pennsylvania MEDICAID 0011684000002

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