Fenn, Michael H.
Fenn, Michael H. is an individual health care provider with primary practice located at 5565 Grossmont Center Dr Suite# 352, La Mesa CA 91942-3020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Fenn, Michael H. can be contacted via phone (619) 466-0048.Contact Information
Primary practice address
5565 Grossmont Center Dr Suite# 352
La Mesa CA 91942-3020
Phone: (619) 466-0048
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | G17188 | California |
Profile Details
| NPI number | 1013946904 |
|---|---|
| LBN Legal business name | Fenn, Michael H. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 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 | 1013946904 | NPPES |
| California | MEDICAID | 00G171880 |
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