Michael Fedorczyk

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

S01650 Issued in MD

Legal business name

MICHAEL FEDORCZYK

Practice address

10020 Southern Maryland Blvd
Suite 202
Dunkirk, MD 20754-3031

Phone

(410) 286-3335

Fax

(410) 286-0383

NPI assigned

Aug 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Fedorczyk, D.C.

Title

Owner - Clinic Director

Phone

(410) 286-3335

Specialties & licenses 1

Addresses

Other names 1

• Dunkirk Chiropractic Center Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1831206150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 SOUTHERN MARYLAND BLVD",
            "address_2": "SUITE 202",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207543031",
            "telephone_number": "410-286-3335",
            "fax_number": "410-286-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 SOUTHERN MARYLAND BLVD",
            "address_2": "SUITE 202",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207543031",
            "telephone_number": "410-286-3335",
            "fax_number": "410-286-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL FEDORCZYK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "FEDORCZYK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER - CLINIC DIRECTOR",
        "authorized_official_telephone_number": "410-286-3335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "S01650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dunkirk Chiropractic Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinic/Center in Dunkirk, MD
• Providers in Dunkirk, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.