Fellow, John E.
Fellow, John E. is an individual health care provider with primary practice located at 15025 Innovation Dr , San Diego CA 92128-3409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Fellow, John E. can be contacted via phone (858) 605-7960.Contact Information
Primary practice address
15025 Innovation Dr
San Diego CA 92128-3409
Phone: (858) 605-7960
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | G60559 | California |
Profile Details
| NPI number | 1497857460 |
|---|---|
| LBN Legal business name | Fellow, John E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Jun 25th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497857460 | NPPES |
| California | MEDICAID | 00G605590 |
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