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Contact Information

FIDELIS O EJIANREH, DO
2032 E PLEASANT VALLEY BLVD
ALTOONA, PA16602
 Phone: 814-684-3101
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for FIDELIS O EJIANREH · (Male)

NPI Number 1699746990
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/27/2006
Last updated 03/11/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • PA License # BE8240652
Hospital affiliation(s) Not Available
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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