Fenner, David L.

Fenner, David L. is an individual health care provider with primary practice located at 301 Manchester Rd Suite 105, Poughkeepsie NY 12603-2587. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fenner, David L. can be contacted via phone (845) 452-1700.

Contact Information

Primary practice address
301 Manchester Rd Suite 105 Poughkeepsie NY 12603-2587
Fax: (845) 452-1752
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 150315 New York

Profile Details

NPI number 1215998141
LBN Legal business name Fenner, David L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Jul 13th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215998141 NPPES
New York MEDICAID 00898499

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