Fedor, Jayne K

Fedor, Jayne K is an individual health care provider with primary practice located at 751 N Rutledge St , Springfield IL 62702-4909. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fedor, Jayne K can be contacted via phone (217) 545-0173.

Contact Information

Primary practice address
751 N Rutledge St Springfield IL 62702-4909
Phone: (217) 545-0173
Fax: (217) 788-5459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Illinois

Profile Details

NPI number 1376538124
LBN Legal business name Fedor, Jayne K
Credentials P.A.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jul 8th, 2007 - about 18 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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