Sofair, Audrey Fawn

Sofair, Audrey Fawn is an sole proprietor health care provider with primary practice located at 11123 Parkview Plaza Dr Ste 201 , Fort Wayne IN 46845-1707. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Sofair, Audrey Fawn can be contacted via phone (260) 425-5950.

Contact Information

Primary practice address
11123 Parkview Plaza Dr Ste 201 Fort Wayne IN 46845-1707
Phone: (260) 425-5950
Fax: (260) 425-5165
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X 194228 New York
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 01082071A Indiana

Profile Details

NPI number 1326139833
LBN Legal business name Sofair, Audrey Fawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Mar 2nd, 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 1326139833 NPPES
New York MEDICAID 01888426

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