Fidler, Corey Michael

Fidler, Corey Michael is an individual health care provider with primary practice located at 3 Riverside Cir , Roanoke VA 24016-4955. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Fidler, Corey Michael can be contacted via phone (540) 725-1226.

Contact Information

Primary practice address
3 Riverside Cir Roanoke VA 24016-4955
Phone: (540) 725-1226
Fax: (540) 857-5306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0103301175 Virginia
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0103301175 Virginia

Profile Details

NPI number 1942566252
LBN Legal business name Fidler, Corey Michael
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2012
Last updated Nov 17th, 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 1942566252 NPPES
Virginia Other 1942566252 OPTIMA HEALTH PLAN
Virginia Other 1942566252 OPTIMA HEALTH PLAN
Virginia Other 540506332108 OPTIMA HEALTH PLAN
Virginia Other 1942566252 OPTIMA HEALTH PLAN
Virginia Other 1942566252 OPTIMA HEALTH PLAN
Virginia Other 1942566252 OPTIMA HEALTH PLAN
Virginia Other 1942566252 OPTIMA HEALTH PLAN
Virginia Other 1942566252 OPTIMA HEALTH PLAN
Virginia Other 1942566252 OPTIMA HEALTH PLAN
Virginia Other 1942566252 OPTIMA HEALTH PLAN
Virginia Other 1942566252 OPTIMA HEALTH PLAN
Virginia Other 1942566252 OPTIMA HEALTH PLAN
Virginia MEDICAID 1942566252 OPTIMA HEALTH PLAN

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