Fennell, Colin W
Fennell, Colin W is an individual health care provider with primary practice located at 323 S Minnesota St , Crookston MN 56716-1601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Fennell, Colin W can be contacted via phone (218) 281-9553.Contact Information
Primary practice address
323 S Minnesota St
Crookston MN 56716-1601
Phone: (218) 281-9553
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 44689 | Minnesota |
Profile Details
| NPI number | 1356313480 |
|---|---|
| LBN Legal business name | Fennell, Colin W |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jan 13th, 2009 - about 16 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 | 1356313480 | NPPES |
| Minnesota | MEDICAID | 812029300 |
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