Fercowicz, Andrew J
Fercowicz, Andrew J is an sole proprietor health care provider with primary practice located at 202 S John Redditt Dr , Lufkin TX 75904-3112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fercowicz, Andrew J can be contacted via phone (936) 639-1005.Contact Information
Primary practice address
202 S John Redditt Dr
Lufkin TX 75904-3112
Phone: (936) 639-1005
Fax: (936) 639-1006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K0743 | Texas |
Profile Details
| NPI number | 1245281971 |
|---|---|
| LBN Legal business name | Fercowicz, Andrew J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2006 |
| Last updated | Apr 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245281971 | NPPES |
| Texas | MEDICAID | 092111601 |
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