Fennell, Thomas R

Fennell, Thomas R is an individual health care provider with primary practice located at 1215 Lee St # 800904 , Charlottesville VA 22908-0816. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Fennell, Thomas R can be contacted via phone (434) 924-1946.

Contact Information

Primary practice address
1215 Lee St # 800904 Charlottesville VA 22908-0816
Phone: (434) 924-1946
Fax: (434) 982-1545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 4301090586 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0101274382 Virginia

Profile Details

NPI number 1386844405
LBN Legal business name Fennell, Thomas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2007
Last updated Jun 22nd, 2023 - about last year

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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