Fedoruk, Amy J
Fedoruk, Amy J is an individual health care provider with primary practice located at 305 S State St , Aberdeen SD 57401-4527. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Fedoruk, Amy J can be contacted via phone (605) 622-5000.Contact Information
Primary practice address
305 S State St
Aberdeen SD 57401-4527
Phone: (605) 622-5000
Fax: (605) 622-5255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1679725436 |
|---|---|
| LBN Legal business name | Fedoruk, Amy J |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2008 |
| Last updated | May 21st, 2015 - about 11 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 | 1679725436 | NPPES |
| South Dakota | Other | 09118760 | ASHA CERTIFICATION |
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