Chaykowski, Frederick Theodore
Chaykowski, Frederick Theodore is an individual health care provider with primary practice located at 323 Golfway Dr , Fort Wayne IN 46814-9159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Chaykowski, Frederick Theodore can be contacted via phone (260) 436-8686.Contact Information
Primary practice address
323 Golfway Dr
Fort Wayne IN 46814-9159
Phone: (260) 436-8686
Fax: (260) 436-8585
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 01040342A | Indiana |
Profile Details
| NPI number | 1306849468 |
|---|---|
| LBN Legal business name | Chaykowski, Frederick Theodore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Dec 15th, 2020 - about 6 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 | 1306849468 | NPPES |
| Other | 00000089405 | ANTHEM | |
| MEDICAID | 100340080A | ANTHEM | |
| Other | 200015790 | ANTHEM |
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