Provider Demographics
NPI:1538853684
Name:FEHER, SEBASTIAN ALEXANDER (CGC)
Entity type:Individual
Prefix:
First Name:SEBASTIAN
Middle Name:ALEXANDER
Last Name:FEHER
Suffix:
Gender:M
Credentials:CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9513 BRIDGEWOOD PL
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46835-9410
Mailing Address - Country:US
Mailing Address - Phone:260-433-8878
Mailing Address - Fax:
Practice Address - Street 1:975 W WALNUT ST # IB130
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5181
Practice Address - Country:US
Practice Address - Phone:317-944-0053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS