Fedorczyk, Frank

Fedorczyk, Frank is an sole proprietor health care provider with primary practice located at 6009 Amberly Dr , Bradenton FL 34208-4545. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fedorczyk, Frank can be contacted via phone (215) 962-9557.

Contact Information

Primary practice address
6009 Amberly Dr Bradenton FL 34208-4545
Fax:
Website:

Profile Details

NPI number 1902806367
LBN Legal business name Fedorczyk, Frank
Credentials PT, DPT, OCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Apr 20th, 2023 - about last year

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 1902806367 NPPES
Other 1902806367 CHAMPUS TRICARE
Other 504364 CHAMPUS TRICARE

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