Fetterman, Craig M

Fetterman, Craig M is an sole proprietor health care provider with primary practice located at 2950 Elmwood Ave , Kenmore NY 14217-1304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Fetterman, Craig M can be contacted via phone (716) 634-8800.

Contact Information

Primary practice address
2950 Elmwood Ave Kenmore NY 14217-1304
Phone: (716) 634-8800
Fax: (716) 634-8987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 230757 New York
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 230757-1 New York

Profile Details

NPI number 1902868383
LBN Legal business name Fetterman, Craig M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2006
Last updated Aug 26th, 2022 - about 4 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 1902868383 NPPES
New York Other 0412489 INDEPENDENT HEALTH
New York Other 000527760001 INDEPENDENT HEALTH
New York Other 0026827302 INDEPENDENT HEALTH
New York MEDICAID 02533062 INDEPENDENT HEALTH
New York Other 041006000116 INDEPENDENT HEALTH

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