Fedyszyn, Carl John
Fedyszyn, Carl John is an individual health care provider with primary practice located at 166 19Th St S Suite #201, Sartell MN 56377-4654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fedyszyn, Carl John can be contacted via phone (320) 259-1405.Contact Information
Primary practice address
166 19Th St S Suite #201
Sartell MN 56377-4654
Phone: (320) 259-1405
Fax: (320) 259-5896
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 7326 | North Dakota |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 37093 | Arizona |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00048363 | Washington |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M-9986 | Idaho |
Profile Details
| NPI number | 1528207156 |
|---|---|
| LBN Legal business name | Fedyszyn, Carl John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 4th, 2009 |
| Last updated | Dec 3rd, 2012 - about 14 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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