Fennell, Dan F
Fennell, Dan F is an individual health care provider with primary practice located at 555 Black Oak Dr Suite 300, Medford OR 97504-8447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Fennell, Dan F can be contacted via phone (541) 494-2000.Contact Information
Primary practice address
555 Black Oak Dr Suite 300
Medford OR 97504-8447
Phone: (541) 494-2000
Fax: (541) 494-2002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD16604 | Oregon |
Profile Details
| NPI number | 1922134287 |
|---|---|
| LBN Legal business name | Fennell, Dan F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Apr 26th, 2013 - about 11 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 | 1922134287 | NPPES |
| Oregon | MEDICAID | 009634 |
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