Fondahn, Emily Denise
Fondahn, Emily Denise is an individual health care provider with primary practice located at One Hospital Dr , Columbia MO 65212-0001. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Fondahn, Emily Denise can be contacted via phone (573) 884-9066.Contact Information
Primary practice address
One Hospital Dr
Columbia MO 65212-0001
Phone: (573) 884-9066
Fax: (573) 884-3037
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2011012592 | Missouri |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 2011012592 | Missouri |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2011012592 | Missouri |
Profile Details
NPI number | 1609038074 |
---|---|
LBN Legal business name | Fondahn, Emily Denise |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2008 |
Last updated | Jun 7th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609038074 | NPPES |
Missouri | MEDICAID | 205641103 |
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