Fieser, Carl W

Fieser, Carl W is an individual health care provider with primary practice located at 2004 1St Ave Ste A, Dodge City KS 67801-2623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Fieser, Carl W can be contacted via phone (620) 225-1033.

Contact Information

Primary practice address
2004 1St Ave Ste A Dodge City KS 67801-2623
Phone: (620) 225-1033
Fax: (620) 227-8491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 04-16118 Kansas

Profile Details

NPI number 1316990849
LBN Legal business name Fieser, Carl W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Apr 7th, 2017 - about 8 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 1316990849 NPPES
Kansas MEDICAID 100204750B
Kansas MEDICAID 200487030A
Kansas MEDICAID 91161182
Kansas Other KA1172003
Kansas Other CO40688
Kansas MEDICAID 6750056
Kansas Other KA1173003

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