Kandis, Ann Fotiadis
Kandis, Ann Fotiadis is an individual health care provider with primary practice located at 106 19Th Ave Ste 103 , Moline IL 61265-3700. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Kandis, Ann Fotiadis can be contacted via phone (309) 779-7050.Contact Information
Primary practice address
106 19Th Ave Ste 103
Moline IL 61265-3700
Phone: (309) 779-7050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 28332 | Iowa |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036.126806 | Illinois |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036.126806 | Illinois |
Profile Details
| NPI number | 1275566317 |
|---|---|
| LBN Legal business name | Kandis, Ann Fotiadis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Feb 2nd, 2024 - about last year |
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 | 1275566317 | NPPES |
| Iowa | MEDICAID | 8065904 | |
| Iowa | MEDICAID | 1065904 |
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