Fellows, David Eugene

Fellows, David Eugene is an individual health care provider with primary practice located at 5215 Holy Cross Pkwy Emergency Department, Mishawaka IN 46545-1469. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Fellows, David Eugene can be contacted via phone (574) 335-5000.

Contact Information

Primary practice address
5215 Holy Cross Pkwy Emergency Department Mishawaka IN 46545-1469
Phone: (574) 335-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0894 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10001321 Indiana

Profile Details

NPI number 1427001742
LBN Legal business name Fellows, David Eugene
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Nov 29th, 2016 - about 10 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 1427001742 NPPES
Kansas MEDICAID 200572850B
Kansas Other 000000740513

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