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Contact Information

RICHARD A FEDERSPIEL, MD
915 SAGAMORE PKWY W
WEST LAFAYETTE, IN47906-1443
 Phone: 765-463-2424
 Fax: 765-463-2249
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for RICHARD A FEDERSPIEL · (Male)

NPI Number 1649342817
Status Active
Credentials MD
Entity Individual
Enumeration date 11/14/2006
Last updated 07/05/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01026230
  • IN License # 01026230A
  • IN Other 000000085566 BLUE CROSS BLUE SHIELD
  • IN Other 070015351 MEDICARE RAILROAD
Hospital affiliation(s)
  • FRANCISCAN ST ELIZABETH HEALTH - LAFAYETTE EAST - (Acute Care)
    1701 S CREASY LN
    LAFAYETTE, IN 47905
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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