Fondahn, Emily Denise

Fondahn, Emily Denise is an individual health care provider with primary practice located at One Hospital Dr , Columbia MO 65212-0001. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Fondahn, Emily Denise can be contacted via phone (573) 884-9066.

Contact Information

Primary practice address
One Hospital Dr Columbia MO 65212-0001
Phone: (573) 884-9066
Fax: (573) 884-3037
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2011012592 Missouri
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2011012592 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2011012592 Missouri

Profile Details

NPI number 1609038074
LBN Legal business name Fondahn, Emily Denise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2008
Last updated Jun 7th, 2023 - about 3 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 1609038074 NPPES
Missouri MEDICAID 205641103

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