Fethke, Eric
Fethke, Eric is an sole proprietor health care provider with primary practice located at 212 Crystal Run Rd , Middletown NY 10941-4009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Fethke, Eric can be contacted via phone (845) 703-7000.Contact Information
Primary practice address
212 Crystal Run Rd
Middletown NY 10941-4009
Phone: (845) 703-7000
Fax: (845) 703-0160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 195450 | New York |
Profile Details
| NPI number | 1285600080 |
|---|---|
| LBN Legal business name | Fethke, Eric |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Feb 7th, 2013 - about 11 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 | 1285600080 | NPPES |
| New York | MEDICAID | 01488665 |
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