Fendrich, Douglas Joel

Fendrich, Douglas Joel is an individual health care provider with primary practice located at 13112 E Hadley St Suite 108, Whittier CA 90601-4583. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Fendrich, Douglas Joel can be contacted via phone (562) 696-5054.

Contact Information

Primary practice address
13112 E Hadley St Suite 108 Whittier CA 90601-4583
Phone: (562) 696-5054
Fax: (562) 696-5054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HA2291 California

Profile Details

NPI number 1235353061
LBN Legal business name Fendrich, Douglas Joel
Credentials BC HIS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Jul 8th, 2007 - about 18 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 1235353061 NPPES
California Other HA2291 INSURANCE FORMS
California MEDICAID HAOO22910 INSURANCE FORMS

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