Fedorczyk, Frank
Fedorczyk, Frank is an sole proprietor health care provider with primary practice located at 6009 Amberly Dr , Bradenton FL 34208-4545. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fedorczyk, Frank can be contacted via phone (215) 962-9557.Contact Information
Primary practice address
6009 Amberly Dr
Bradenton FL 34208-4545
Phone: (215) 962-9557
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT005649L | Pennsylvania |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 40QA00339700 | New Jersey |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT32010 | Florida |
Profile Details
| NPI number | 1902806367 |
|---|---|
| LBN Legal business name | Fedorczyk, Frank |
| Credentials | PT, DPT, OCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Apr 20th, 2023 - about 3 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 | 1902806367 | NPPES |
| Other | 1902806367 | CHAMPUS TRICARE | |
| Other | 504364 | CHAMPUS TRICARE |
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