Kondziela, Sherry R

Kondziela, Sherry R is an sole proprietor health care provider with primary practice located at 1307 8Th Ave Suite 100, Fort Worth TX 76104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Kondziela, Sherry R can be contacted via phone (817) 284-9850.

Contact Information

Primary practice address
1307 8Th Ave Suite 100 Fort Worth TX 76104
Phone: (817) 284-9850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X J3520 Texas

Profile Details

NPI number 1508838707
LBN Legal business name Kondziela, Sherry R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2006
Last updated Feb 1st, 2022 - 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 1508838707 NPPES
Texas MEDICAID 128454909
Texas Other 848661

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