Fendley, Steven M.
Fendley, Steven M. is an individual health care provider with primary practice located at 4300 W Main St Ste 24, Dothan AL 36305-1054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fendley, Steven M. can be contacted via phone (334) 793-1534.Contact Information
Primary practice address
4300 W Main St Ste 24
Dothan AL 36305-1054
Phone: (334) 793-1534
Fax: (334) 793-6840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 12208 | Alabama |
Profile Details
| NPI number | 1396740577 |
|---|---|
| LBN Legal business name | Fendley, Steven M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Dec 23rd, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396740577 | NPPES |
| Alabama | Other | 51080734 | BCBS |
| Alabama | MEDICAID | 000080734 | BCBS |
| Alabama | Other | 000080734 | BCBS |
| Alabama | MEDICAID | 009947330 | BCBS |
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