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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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 1306849468 NPPES
Other 00000089405 ANTHEM
MEDICAID 100340080A ANTHEM
Other 200015790 ANTHEM

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