Fennell, Troy
Fennell, Troy is an sole proprietor health care provider with primary practice located at 27574 Commerce Center Dr Suite 232, Temecula CA 92590-2500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Fennell, Troy can be contacted via phone (951) 695-9648.Contact Information
Primary practice address
27574 Commerce Center Dr Suite 232
Temecula CA 92590-2500
Phone: (951) 695-9648
Fax: (951) 695-3949
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A100492 | California |
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | A100492 | California |
Profile Details
| NPI number | 1225212566 |
|---|---|
| LBN Legal business name | Fennell, Troy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2007 |
| Last updated | Feb 29th, 2012 - about 13 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 | 1225212566 | NPPES |
| California | Other | A100492 | STATE LICENSE |
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