Fetcko, Elyse M

Fetcko, Elyse M is an individual health care provider with primary practice located at 6101 Pine Ridge Rd , Naples FL 34119. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fetcko, Elyse M can be contacted via phone (239) 348-4221.

Contact Information

Primary practice address
6101 Pine Ridge Rd Naples FL 34119
Phone: (239) 348-4221
Fax: (239) 348-4529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101083 Florida

Profile Details

NPI number 1962465492
LBN Legal business name Fetcko, Elyse M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jun 22nd, 2018 - about 7 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 1962465492 NPPES
Florida MEDICAID 290948100

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