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
Phone: (845) 452-1700
Fax: (845) 452-1752
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215998141 | NPPES |
| New York | MEDICAID | 00898499 |
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