Fedorko, Ladislav

Fedorko, Ladislav is an individual health care provider with primary practice located at 1350 W Bagley Rd , Berea OH 44017-2912. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fedorko, Ladislav can be contacted via phone (440) 816-5188.

Contact Information

Primary practice address
1350 W Bagley Rd Berea OH 44017-2912
Phone: (440) 816-5188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35-071881 Ohio

Profile Details

NPI number 1245291913
LBN Legal business name Fedorko, Ladislav
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jul 21st, 2015 - about 9 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 1245291913 NPPES
Ohio Other 000000142087 ANTHEM
Ohio Other 5049663 ANTHEM
Ohio Other 83648 ANTHEM
Ohio MEDICAID 2076033 ANTHEM
Ohio Other 341908694027 ANTHEM
Ohio Other F71881 ANTHEM
Ohio Other 0104797 ANTHEM

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