Fedyszyn, Carl John

Fedyszyn, Carl John is an individual health care provider with primary practice located at 166 19Th St S Suite #201, Sartell MN 56377-4654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fedyszyn, Carl John can be contacted via phone (320) 259-1405.

Contact Information

Primary practice address
166 19Th St S Suite #201 Sartell MN 56377-4654
Fax: (320) 259-5896
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7326 North Dakota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37093 Arizona
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00048363 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M-9986 Idaho

Profile Details

NPI number 1528207156
LBN Legal business name Fedyszyn, Carl John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2009
Last updated Dec 3rd, 2012 - about 13 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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