Fedorchuk, Curtis Alexander

Fedorchuk, Curtis Alexander is an sole proprietor health care provider with primary practice located at 131 Mechanic St , Dahlonega GA 30533-1337. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fedorchuk, Curtis Alexander can be contacted via phone (706) 864-5362.

Contact Information

Primary practice address
131 Mechanic St Dahlonega GA 30533-1337
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIRO07276 Georgia

Profile Details

NPI number 1417057050
LBN Legal business name Fedorchuk, Curtis Alexander
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2006
Last updated Aug 12th, 2008 - about 18 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 1417057050 NPPES
Georgia MEDICAID 944233617A
Georgia Other 120530

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