Fedoriw, Natalka
Fedoriw, Natalka is an individual health care provider with primary practice located at 3301 Lake Ave , Fort Wayne IN 46805-5529. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Fedoriw, Natalka can be contacted via phone (260) 422-3937.Contact Information
Primary practice address
3301 Lake Ave
Fort Wayne IN 46805-5529
Phone: (260) 422-3937
Fax: (260) 424-6900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 01060266A | Indiana |
Profile Details
| NPI number | 1417957333 |
|---|---|
| LBN Legal business name | Fedoriw, Natalka |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Jan 16th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417957333 | NPPES |
| Indiana | MEDICAID | 200520580 | |
| Indiana | Other | P00229113 |
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