Fehniger, Matthew D

Fehniger, Matthew D is an individual health care provider with primary practice located at 1577 Roberts Dr Ste 320 Credentialing Department, Jacksonville Beach FL 32250-3266. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fehniger, Matthew D can be contacted via phone (904) 247-3324.

Contact Information

Primary practice address
1577 Roberts Dr Ste 320 Credentialing Department Jacksonville Beach FL 32250-3266
Phone: (904) 247-3324
Fax: (904) 247-3926
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT23513 Florida

Profile Details

NPI number 1689867889
LBN Legal business name Fehniger, Matthew D
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2007
Last updated Feb 4th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689867889 NPPES
Florida Other P00420320 RR MEDICARE

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