Fenley, James Lewis

Fenley, James Lewis is an sole proprietor health care provider with primary practice located at 2583 S Volusia Ave Ste 200 , Orange City FL 32763-9129. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Fenley, James Lewis can be contacted via phone (386) 960-7830.

Contact Information

Primary practice address
2583 S Volusia Ave Ste 200 Orange City FL 32763-9129
Phone: (386) 960-7830
Fax: (386) 960-7833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X ME127760 Florida
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 034584 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME127760 Florida

Profile Details

NPI number 1508819269
LBN Legal business name Fenley, James Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Aug 8th, 2018 - about 6 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 1508819269 NPPES
Georgia MEDICAID 055002903A
Georgia Other 11BDLZQ

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