Fennig, Julie Smith

Fennig, Julie Smith is an individual health care provider with primary practice located at 1775 Delco Park Dr , Kettering OH 45420-1398. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Fennig, Julie Smith can be contacted via phone (937) 299-2339.

Contact Information

Primary practice address
1775 Delco Park Dr Kettering OH 45420-1398
Phone: (937) 299-2339
Fax: (937) 299-3850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 35084116 Ohio

Profile Details

NPI number 1679659890
LBN Legal business name Fennig, Julie Smith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jul 16th, 2008 - about 17 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 1679659890 NPPES
Other 2552133 UNITED HEALTHCARE
MEDICAID 2603570 UNITED HEALTHCARE
Other 000000368948 UNITED HEALTHCARE
Other 7399698 UNITED HEALTHCARE

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