Fedorko, Jeffrey Steven

Fedorko, Jeffrey Steven is an individual health care provider with primary practice located at 4774 Munson St Nw #302, Canton OH 44718-3634. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fedorko, Jeffrey Steven can be contacted via phone (330) 494-0422.

Contact Information

Primary practice address
4774 Munson St Nw #302 Canton OH 44718-3634
Phone: (330) 494-0422
Fax: (330) 494-3601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 919 Ohio

Profile Details

NPI number 1598861726
LBN Legal business name Fedorko, Jeffrey Steven
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 8th, 2007 - about 17 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 1598861726 NPPES
Ohio MEDICAID 645289

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