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Contact Information

ROBERT S BEDNAREK
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN46845-1739
 Phone: 833-724-8326
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for ROBERT S BEDNAREK · (Male)

NPI # 1902291875
Status Active
Credentials
Entity Individual
Enumeration date 03/30/2015
Last updated 10/14/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01083583
  • IN License # 01083583A
  • MO License # 2019009762
Hospital affiliation(s)
  • PARKVIEW REGIONAL MEDICAL CENTER - (Acute Care)
    11109 PARKVIEW PLAZA DRIVE
    FORT WAYNE, IN 46845
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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