Fudemberg, Scott Jacob

Fudemberg, Scott Jacob is an individual health care provider with primary practice located at 18791 John J Williams Hwy Ste 1 , Rehoboth Beach DE 19971-9435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fudemberg, Scott Jacob can be contacted via phone (302) 645-2300.

Contact Information

Primary practice address
18791 John J Williams Hwy Ste 1 Rehoboth Beach DE 19971-9435
Phone: (302) 645-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 6253 Kansas
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X C1-0008886 Delaware
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25MA08470400 New Jersey
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD431150 Pennsylvania

Profile Details

NPI number 1568510675
LBN Legal business name Fudemberg, Scott Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Aug 30th, 2021 - about 4 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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