Fenner, Melissa K

Fenner, Melissa K is an individual health care provider with primary practice located at 222 Herlong Ave S , Rock Hill SC 29732-1158. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Fenner, Melissa K can be contacted via phone (803) 324-6868.

Contact Information

Primary practice address
222 Herlong Ave S Rock Hill SC 29732-1158
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35079409 Ohio

Profile Details

NPI number 1790865020
LBN Legal business name Fenner, Melissa K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated May 4th, 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 1790865020 NPPES
Ohio MEDICAID 2284974
Ohio Other 311229292

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