Fenlon, Christine H

Fenlon, Christine H is an individual health care provider with primary practice located at 33-57 Harrison St , Johnson City NY 13790-2107. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Fenlon, Christine H can be contacted via phone (607) 763-6622.

Contact Information

Primary practice address
33-57 Harrison St Johnson City NY 13790-2107
Fax: (607) 763-5064
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 155386 New York

Profile Details

NPI number 1780679266
LBN Legal business name Fenlon, Christine H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Nov 18th, 2011 - about 13 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 1780679266 NPPES
New York MEDICAID 00916358

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