Fody, Edward P.
Fody, Edward P. is an individual health care provider with primary practice located at 602 Michigan Ave , Holland MI 49423-4918. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Fody, Edward P. can be contacted via phone (517) 403-0763.Contact Information
Primary practice address
602 Michigan Ave
Holland MI 49423-4918
Phone: (517) 403-0763
Fax: (800) 576-8369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 4301084665 | Michigan |
Profile Details
| NPI number | 1619950649 |
|---|---|
| LBN Legal business name | Fody, Edward P. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Jan 23rd, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619950649 | NPPES |
| Michigan | MEDICAID | 4704015 |
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