Fenn, Andraea M
Fenn, Andraea M is an sole proprietor health care provider with primary practice located at 212 Schoosett St , Pembroke MA 02359-1822. She recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as her primary health care specialty. Fenn, Andraea M can be contacted via phone (781) 826-8804.Contact Information
Primary practice address
212 Schoosett St
Pembroke MA 02359-1822
Phone: (781) 826-8804
Fax: (781) 826-8805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 1520 | Massachusetts |
Profile Details
| NPI number | 1194833699 |
|---|---|
| LBN Legal business name | Fenn, Andraea M |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1194833699 | NPPES |
| Massachusetts | MEDICAID | 1610023 |
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