Individual
DR. AUDREY FAWN SOFAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11123 PARKVIEW PLAZA DR STE 201, FORT WAYNE, IN 46845-1707
(260) 425-5950
(260) 425-5165
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01082071A
IN
2081P0010X
Pediatric Rehabilitation Medicine Physician
194228
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01888426
—
NY
Enumeration date
09/28/2006
Last updated
03/02/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us