Fiedorek, Stephen C

Fiedorek, Stephen C is an individual health care provider with primary practice located at 1525 Country Club Road , Sherwood AR 72120-5076. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Fiedorek, Stephen C can be contacted via phone (501) 758-1530.

Contact Information

Primary practice address
1525 Country Club Road Sherwood AR 72120-5076
Phone: (501) 758-1530
Fax: (501) 819-6171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X R3678 Arkansas

Profile Details

NPI number 1609898006
LBN Legal business name Fiedorek, Stephen C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 10th, 2023 - about 2 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 1609898006 NPPES
Oklahoma MEDICAID 100160440A
Oklahoma Other 50644
Oklahoma MEDICAID 112344001

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